Department of Juvenile Justice Services
Juvenile Work Permit Application
To obtain a Work Permit the following requirements must be met:
Work Permits are required for juveniles 14 thru 17 years of age.
You must obtain a work permit every time you change your job until you reach the age of 18 yrs.
If not accompanied by your biological parent or legal guardian, you must have verifiable (i.e., copy of driver’s license) written permission from your parent or legal guardian (with legal proof of guardian) for every new application.
Foreign-born individuals must provide an Immigration Card, Naturalization Certificate or a U.S. Dept. of State Born Abroad Birth Certificate.
You must have a job or the promise of a job. (Work permit is issued to where you will work) You must provide any one of the following for legal proof age:
Birth Certificate
Current-Department of Motor Vehicle – I.D. Card, Driver’s License or Learner’s Permit Exp. Date: __________
Current-Military I.D. Card Exp. Date: ________________
Current-US Passport #: _____________________________ Exp. Date: _________________
Current-Immigration Card #: ________________________________ Exp. Date: ___________________
Baptismal Certificate
School Transcript (No School I.D.’s permitted)
$1.00 fee for Work Permit.
PRINT ALL INFORMATION AND FILL OUT COMPLETELY
Please provide at window – DMV Parent Picture I.D. / Minor’s I.D. (No school I.D.’s) / $1.00 (correct denomination is appreciated)
Have you ever had a work permit in Nevada? Yes ____ No ____
Name: _________________________________________ Date of Birth: ________________ Age: ______
Address: _____________________________City: ___________ State: _____ Zip: _____ Tel: ___________
Place of Birth:___________________________________________ Sex: ______ Race: ________________
School:_________________________________________________ Grade:__________________________
Place of Employment:_______________________________________ Type of Job: ___________________
Location or Cross Streets: _________________________________________________________________
Work Hours – Start Time: ___________________________ Finish Time: __________________________
(Ages 16–17 if you don’t know the work hours, Parent please provide Latest Hour you will allow minor to work) Parents/Legal Guardian Name: ______________________________________________________________
I, ________________________________ Parent or Legal Guardian of ______________________________
Give him/her permission to work at __________________________________________________________
Date: __________ Signed by _______________________________________________ Verified I.D. _____
Circle who signed-photo I.D. required (Mother / Father / Legal Guardian Name-Need Court Papers / See Note or Letter)
W-H-Work Permit Application 4/29/10