Form FCL1002 (1) "Application for Waiver of Florida Child Labor Law - Child Labor Program" - Florida

What Is Form FCL1002 (1)?

This is a legal form that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 1993;
  • The latest edition provided by the Florida Department of Business & Professional Regulation;
  • 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 printable version of Form FCL1002 (1) by clicking the link below or browse more documents and templates provided by the Florida Department of Business & Professional Regulation.

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Download Form FCL1002 (1) "Application for Waiver of Florida Child Labor Law - Child Labor Program" - Florida

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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CHILD LABOR PROGRAM
Phone: 800.226.2536 or 850.488.3131
(press option 1 for Child Labor)
APPLICATION FOR WAIVER OF FLORIDA CHILD LABOR LAW
(THIS WAIVER IS FOR MINORS WHO ARE NOT ENROLLED IN PUBLIC SCHOOLS INCLUDING FLORIDA VIRTUAL SCHOOLS)
Please type or write legibly; do not abbreviate (except State)
Applicant is: (Check One)
Applicant’s Name:
__________________________________
.
.
Minor
Employer
(Contact Child Labor for an
Email:
employer specific waiver.)
___/___/___
Address:
Minor’s Birth Date (Mo/Day/Year):
___________________________________
Minor’s Age:
City:
State:
Zip:__________
-
-
Minor’s Social Security #: _______
______
________
County: _________________________
(
)
Home Telephone:
Public School Minor Attends:
Alternative Education Program Minor Attends:
ddress: ___________________________________
Address:______________________________________
A
(
)
(
)
Telephone:
Telephone:
A partial waiver is requested that would allow:
14-15 yr. olds
16-17 yr. olds
Work up to 18 hours a week (only)
Work more than 30 hours a week
(while school is in session)
Work past 11:00 p.m. on days preceding school days
-No additional waiver granted for this age group
Work during regular school hours
Work up to _____hours without a break
(case by case exemption)
Work in a hazardous occupation (certified OR enrolled in an
approved state or federal student-learning/apprentice program)
Other. Be specific
A waiver is requested because of: (You may check all applicable boxes; documentation must be provided
for any box checked/circled).
SEE SECOND PAGE FOR EXPLANATION OF APPROPRIATE SUPPORTING
DOCUMENTATION TO BE SUBMITTED WITH WAIVER APPLICATION.
PRIVATE SCHOOL
ADULT ED & GED PREP CLASSES
OTHER HARDSHIP
FINANCIAL HARDSHIP
MEDICAL HARDSHIP
COURT ORDER
HOME-SCHOOL
EXPELLED
The undersigned certifies that the information presented is true and correct to the best of their knowledge.
__________________________________________
___________________________
Signature of Applicant
Date
Send application and supporting documents to:
2601 Blair Stone Road, Tallahassee, FL 32399-2212,
FAX: 850.487.4928, OR
EMAIL: Childlaborwaivers@myfloridalicense.com
Please do not send original documents with application
www.myflorida.com/dbpr/reg/childlabor/index.html
Visit our website at:
1
FCL 1002 (1) (Rev. 10/93)
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CHILD LABOR PROGRAM
Phone: 800.226.2536 or 850.488.3131
(press option 1 for Child Labor)
APPLICATION FOR WAIVER OF FLORIDA CHILD LABOR LAW
(THIS WAIVER IS FOR MINORS WHO ARE NOT ENROLLED IN PUBLIC SCHOOLS INCLUDING FLORIDA VIRTUAL SCHOOLS)
Please type or write legibly; do not abbreviate (except State)
Applicant is: (Check One)
Applicant’s Name:
__________________________________
.
.
Minor
Employer
(Contact Child Labor for an
Email:
employer specific waiver.)
___/___/___
Address:
Minor’s Birth Date (Mo/Day/Year):
___________________________________
Minor’s Age:
City:
State:
Zip:__________
-
-
Minor’s Social Security #: _______
______
________
County: _________________________
(
)
Home Telephone:
Public School Minor Attends:
Alternative Education Program Minor Attends:
ddress: ___________________________________
Address:______________________________________
A
(
)
(
)
Telephone:
Telephone:
A partial waiver is requested that would allow:
14-15 yr. olds
16-17 yr. olds
Work up to 18 hours a week (only)
Work more than 30 hours a week
(while school is in session)
Work past 11:00 p.m. on days preceding school days
-No additional waiver granted for this age group
Work during regular school hours
Work up to _____hours without a break
(case by case exemption)
Work in a hazardous occupation (certified OR enrolled in an
approved state or federal student-learning/apprentice program)
Other. Be specific
A waiver is requested because of: (You may check all applicable boxes; documentation must be provided
for any box checked/circled).
SEE SECOND PAGE FOR EXPLANATION OF APPROPRIATE SUPPORTING
DOCUMENTATION TO BE SUBMITTED WITH WAIVER APPLICATION.
PRIVATE SCHOOL
ADULT ED & GED PREP CLASSES
OTHER HARDSHIP
FINANCIAL HARDSHIP
MEDICAL HARDSHIP
COURT ORDER
HOME-SCHOOL
EXPELLED
The undersigned certifies that the information presented is true and correct to the best of their knowledge.
__________________________________________
___________________________
Signature of Applicant
Date
Send application and supporting documents to:
2601 Blair Stone Road, Tallahassee, FL 32399-2212,
FAX: 850.487.4928, OR
EMAIL: Childlaborwaivers@myfloridalicense.com
Please do not send original documents with application
www.myflorida.com/dbpr/reg/childlabor/index.html
Visit our website at:
1
FCL 1002 (1) (Rev. 10/93)
APPLICATION WILL NOT BE ACCEPTED UNLESS PROOF OF AGE AND DOCUMENTATION FOR BOX CHECKED IS ATTACHED
SUPPORTING DOCUMENTATION REQUIRED FOR
PARTIAL WAIVER OF THE FLORIDA CHILD LABOR LAW
SPECIAL NOTE: THIS WAIVER IS FOR MINORS WHO ARE NOT ENROLLED IN PUBLIC SCHOOL (K-12). IF THE MINOR IS ATTENDING
REGULAR PUBLIC SCHOOL, A WAIVER MUST BE OBTAINED THROUGH THE SCHOOL SUPERINTENDENT OR DESIGNEE.
IF YOU APPLY:
BASED ON NON-PUBLIC SCHOOL STATUS THE FOLLOWING DOCUMENTATION IS REQUIRED
FOR PRIVATE SCHOOL
FOR HOME-SCHOOL
FOR ADULT ED. & GED PREP CLASSES
IF EXPELLED
1. A letter from the public school system
1. A copy of expulsion
1. Letter from public school system stating:
stating:
letter or other
1. A letter on school letterhead
(a) Withdrawal from public school,
(a) withdrawal from public school,
document from the
from the private school
OR
OR;
school that explains
stating:
(b) the acknowledgement from school
(b) authorization to obtain education through
the time period of
(a) Enrollment,
district of your intent to establish a
alternative means.
the expulsion.
(b) attendance and,
home school program.
2. A letter on official letterhead from an adult
(Partial waivers
(c) working additional hours
2. A NOTARIZED statement from parent or
will be issued for
education school that states the minor is
will not jeopardize school
guardian as to which day/hours the
(a) enrolled,
the same time
progress.
minor receives home school instruction.
(b) attending, and
period of
2. Proof of age.
3. Proof of age
(c) hours of attendance.
expulsion)
3. Proof of age
2. Proof of age.
IF YOU APPLY:
BASED ON HARDSHIP, THE FOLLOWING DOCUMENTATION IS REQUIRED
FOR “OTHER” HARDSHIP
FOR FINANCIAL HARDSHIP
FOR MEDICAL HARDSHIP
1. A letter on letterhead from a doctor, pastor, school
1. A letter on letterhead from a doctor, pastor,
1. A NOTARIZED statement from an adult
counselor, etc., EXPLAINING the circumstances or
school counselor, etc., EXPLAINING the
family member or adult friend EXPLAINING
situation,
circumstances or situation,
the financial hardship,
OR
OR
OR
A NOTARIZED statement from an adult
a NOTARIZED statement from an adult
proof of current receipt of public assistance.
EXPLAINING the circumstances or situation.
explaining the circumstances or situation.
2. Proof of withdrawal form from public school
2. Proof of withdrawal from public school.
2. Proof of withdrawal from public school.
3. Proof of age.
3. Proof of age.
3. Proof of age.
IF YOU APPLY
BASED ON A COURT ORDER OR CONDITION OF PROBATION THE FOLLOWING DOCUMENTATION IS REQUIRED
1. A copy of the court order that states the minor must work full time and/or pay restitution and proof of age OR
2. A letter on official letterhead from the probation officer stating the minor must work full time and proof of age.
PROOF OF AGE IS REQUIRED WITH ALL WAIVER APPLICATIONS
(A copy of a birth certificate, driver’s license, age certificate, Florida identification or passport will be sufficient. Proof of age is required in addition to the
documentation mentioned above for the status under which you apply.)
2
FCL 1002 (1) (Rev. 10/93)
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