Form DLT-L-75 "Special Limited Permit to Work for a Minor 14-15 Years of Age" - Rhode Island

What Is Form DLT-L-75?

This is a legal form that was released by the Rhode Island Department of Labor and Training - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2015;
  • The latest edition provided by the Rhode Island Department of Labor and Training;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DLT-L-75 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Labor and Training.

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Download Form DLT-L-75 "Special Limited Permit to Work for a Minor 14-15 Years of Age" - Rhode Island

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Make 3 Copies
Permit
1. Employer
Number
Rhode Island Department of Labor and Training
2. Labor Dept.
Date
SPECIAL LIMITED PERMIT TO WORK
3. Issuer
Check
Orig
Reissue
for a Minor 14-15 Years of Age
Print in Ink, or Type on-line, (except signatures) CL-2-6/80
1. Full Name of Minor
first
middle
last
15. Name of Parent or Guardian
2. Address of Minor
16. Address of Parent or Guardian
3. Age
4. Date of Birth
5. Sex
17. Evidence of Age presented by minor
6. Currently Registered for School?
Yes
No
18. Signature of Minor
7. Last Grade Completed
8. Name of School
X
9. Business Name of Employer
19. I hereby certify that I am duly appointed and authorized by the
School Committee for
to issue this
special limited permit to the employer named herein for employment of this
10. Business Telephone
minor in the occupation and at the address described. I also certify that I
have reason to believe that the minor named is of the age herein stated.
11. Business Address of Employer
20. Signature of Issuing Officer
12. Address where minor will perform work (if different from above)
21. Telephone Number of Issuing Officer
13. Nature of Employer’s Business
22. Title of Issuing Officer
14. Nature of work to be performed by minor
23. Date Signed
DLT-L-75 (Rev. 08/2015 mdf) CL-2-6/80
NOTICE TO EMPLOYER
1. This document is valid for employment in Rhode Island only.
2. This document is your property and must be kept with your payroll records. Upon termination of employment, note in your records
for this employee, the certificate number, date of issuance, and city or town from which it was issued, and return this document to the
issuing officer.
3. HOURS OF WORK MINORS 14-15 years of age:
Maximum hours - RI 8 hours per day, 40 hours per week
Federal - 3 hours per day (school day) - 8 hours non-school day, 18 hours per week (school week), 40 hours, non-school week
Curfew - RI Employment permitted between the hours of 6 A.M. and 7 P.M. (except 9 P.M. during school vacation)
Federal - Employment between the hours of 7 A.M. and 7 P.M. (except 9 P.M. from June 1st through Labor Day)
THE MORE RESTRICTIVE STANDARD APPLIES WHENEVER THERE IS COVERAGE BY BOTH STATE AND FEDERAL LAW.
Work is prohibited in factories, mechanical, manufacturing, or processing establishments, docks, warehouses, storage rooms, dispensing gasoline, car washes
and parking lot attendants.
Minors 14-15 may not start work until employer has been issued the necessary permit.
NO WORK WHEN SCHOOL IS IN SESSION.
For information regarding Federal Restrictions contact the area office:
For information regarding the provisions of Rhode Island laws contact:
Employment Standards Administration
Labor Standards Unit
United States Dept. of Labor
RI Department of Labor and Training
380 Westminister Street, Providence, RI 02903
P.O. Box 20390, Cranston, RI 02920-0944
(401) 490-2370
(401) 462-8550
DLT is an equal opportunity employer/program - auxiliary aids and services available upon request. TTY via RI Relay: 711
Make 3 Copies
Permit
1. Employer
Number
Rhode Island Department of Labor and Training
2. Labor Dept.
Date
SPECIAL LIMITED PERMIT TO WORK
3. Issuer
Check
Orig
Reissue
for a Minor 14-15 Years of Age
Print in Ink, or Type on-line, (except signatures) CL-2-6/80
1. Full Name of Minor
first
middle
last
15. Name of Parent or Guardian
2. Address of Minor
16. Address of Parent or Guardian
3. Age
4. Date of Birth
5. Sex
17. Evidence of Age presented by minor
6. Currently Registered for School?
Yes
No
18. Signature of Minor
7. Last Grade Completed
8. Name of School
X
9. Business Name of Employer
19. I hereby certify that I am duly appointed and authorized by the
School Committee for
to issue this
special limited permit to the employer named herein for employment of this
10. Business Telephone
minor in the occupation and at the address described. I also certify that I
have reason to believe that the minor named is of the age herein stated.
11. Business Address of Employer
20. Signature of Issuing Officer
12. Address where minor will perform work (if different from above)
21. Telephone Number of Issuing Officer
13. Nature of Employer’s Business
22. Title of Issuing Officer
14. Nature of work to be performed by minor
23. Date Signed
DLT-L-75 (Rev. 08/2015 mdf) CL-2-6/80
NOTICE TO EMPLOYER
1. This document is valid for employment in Rhode Island only.
2. This document is your property and must be kept with your payroll records. Upon termination of employment, note in your records
for this employee, the certificate number, date of issuance, and city or town from which it was issued, and return this document to the
issuing officer.
3. HOURS OF WORK MINORS 14-15 years of age:
Maximum hours - RI 8 hours per day, 40 hours per week
Federal - 3 hours per day (school day) - 8 hours non-school day, 18 hours per week (school week), 40 hours, non-school week
Curfew - RI Employment permitted between the hours of 6 A.M. and 7 P.M. (except 9 P.M. during school vacation)
Federal - Employment between the hours of 7 A.M. and 7 P.M. (except 9 P.M. from June 1st through Labor Day)
THE MORE RESTRICTIVE STANDARD APPLIES WHENEVER THERE IS COVERAGE BY BOTH STATE AND FEDERAL LAW.
Work is prohibited in factories, mechanical, manufacturing, or processing establishments, docks, warehouses, storage rooms, dispensing gasoline, car washes
and parking lot attendants.
Minors 14-15 may not start work until employer has been issued the necessary permit.
NO WORK WHEN SCHOOL IS IN SESSION.
For information regarding Federal Restrictions contact the area office:
For information regarding the provisions of Rhode Island laws contact:
Employment Standards Administration
Labor Standards Unit
United States Dept. of Labor
RI Department of Labor and Training
380 Westminister Street, Providence, RI 02903
P.O. Box 20390, Cranston, RI 02920-0944
(401) 490-2370
(401) 462-8550
DLT is an equal opportunity employer/program - auxiliary aids and services available upon request. TTY via RI Relay: 711