07/08/2004
NORTH CAROLINA DEPARTMENT OF LABOR
YOUTH EMPLOYMENT CERTIFICATE
Please Type or Print Clearly
Name of Youth:
Date of Birth: (mo/da/yr)
Age:
Sex:
Area Code Phone
( )
Complete Mailing Address:
City
State
Zip Code
Job Description: (Please be as complete as possible)
Company Name:
Type of Business:
*ABC ON-PREMISES PERMIT?
Yes NO
Complete Mailing Address:
City:
State:
Zip Code
Area Code Phone
( )
SIGNATURES & IMPORTANT INFORMATION BELOW
1. Minimum Age for Employment: Fourteen (14) for non-farm work with limited exceptions. Proof of age includes birth certificate, driver's license or
DMV issued identification card, school records, insurance records, or other documentary evidence approved by the Department of Labor.
2.
*ABC On-premises Permit Restrictions: Youth under age 18 may not prepare, dispense, serve, or sell alcoholic beverages for any reason even
if employed by their parents. Youth 16-17 may be employed in the premises to perform other duties including waitperson and cashier as long as
youth is not serving, taking orders or ringing up on-premises alcoholic beverages. Youth under age 16 may not work in the premises for any
reason. A limited exception exists for youth under age 16 who are employed by their parents to work in the premises to perform other duties.
Youth 14-15 may work on the outside grounds to perform other duties with parent/guardian written permission (permit signature is acceptable).
3. Rest Breaks: No youth under age 16 may be employed for more than 5 consecutive hours without an interval of at least 30 minutes for rest
(applies to employers who are subject to state labor law only).
4. Hours Restrictions (14-15 year olds): Only between 7 am and 7 pm (except until 9 pm during the summer when school is not in session); only
outside school hours; no more than 3 hours per day or 18 hours per wee