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Intent Minor - Rhode Island

Rhode Island Department of Labor and Training INTENTION TO EMPLOY Minor . Print in Ink, or Type, or on-line (except signature) (Adobe Reader and above). Employer's Affidavit 14-15 Years of Age 16-17 Years of Age Check SPECIAL LIMITED PERMIT CERTIFICATE OF AGE THIS ESTABLISHMENT WILL EMPLOY THE Minor . one: TO WORK (Advisable for Employer's NAMED HEREIN, SUBJECT TO ALL PERTINENT LAWS. (Mandatory under law) Protection). & REGULATIONS. EMPLOYER ASSUMES. 1. Full Name of Minor first middle last RESPONSIBILITY TO ASCERTAIN THAT THE Minor IS.

to the issuing officer as designated by the School Committee in the city/town of minor’s residence. A minor who is not a Rhode Island resident must present this form to the Issuing Officer, so designated, in the city or town where the work is being performed. ... Rhode Island Motor Vehicle Operator’s license with photograph.

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