Application to Employ a Minor

Application To Employ A Minor In Sale of Alcoholic Beverages

The business license holder (NOT the minor) must complete and submit this form and the minor's Department of Labor issued work permit in order for this application to be processed.

Please allow 10 business days for review.

Business / Trade Name

Alcoholic Beverage License Number

License Holder Name

Business Email Address (if permit is granted, it will be emailed to this account)

Full Name of Minor to be Employed

Address of Minor to be Employed

Date of Birth of Minor to be Employed

Business Name/Location of Employment

Name of Parent/Guardian Conesenting to Permit Issuarnce

Parent/Guardian Phone Number

I hereby certify that the information provided above is true and correct to the best of my knowledge, information, and belief. I am the above-named license holder. Entering your initials constitutes an electronic signature.

Upload Minor's Work Permit Here:

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