WORKING PAPER INSTRUCTIONS

STUDENT:

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Section A Personal Information Section G Signature of Minor Section D - If the school does not have proof of age on file, you will need to provide a birth certificate, baptismal certificate, passport or other identification documentation.

EMPLOYER:

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Section B Employer must fill out the entire section, including job description, wages, hours of work (must indicate number of hours and/or starting and stopping times) total hours for week, signature of employer, etc. Section B Signature of Parent Section C Physicians Certification Physician must fill this out (signature, address and date of physical). However, if you have had a school physical while in high school by the school physician, the school nurse will sign the certificate. If you have had working papers issued by this school before, we will take care of this section.

PARENT: DOCTOR:

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PLEASE COMPLETE ALL SECTIONS ABOVE BEFORE YOU RETURN YOUR WORKING PAPER TO THE SCHOOL SCHOOL Fill out Sections D, E, F & G The school will fill out these sections