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    Work Permit App Form Aug20

    Uploaded by

    a.r.g.santhosh
    This document is an employer notification form for a child employment permit application in London Borough of Hounslow. It requires information about the child such as name, address, date of birth; the employer such as company name, address, contact details; and details of the proposed employment including nature of work, location, dates and hours. The employer and parent must confirm they have conducted a risk assessment and parent consents to the employment and certifies the application details. The completed form should be submitted with a photo and birth certificate to the Child Entertainment and Employment, Inclusion office.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Work Permit App Form Aug20

    Uploaded by

    a.r.g.santhosh
    19 views2 pages
    This document is an employer notification form for a child employment permit application in London Borough of Hounslow. It requires information about the child such as name, address, date of birth; the employer such as company name, address, contact details; and details of the proposed employment including nature of work, location, dates and hours. The employer and parent must confirm they have conducted a risk assessment and parent consents to the employment and certifies the application details. The completed form should be submitted with a photo and birth certificate to the Child Entertainment and Employment, Inclusion office.

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    This document is an employer notification form for a child employment permit application in London Borough of Hounslow. It requires information about the child such as name, address, date of birth; the employer such as company name, address, contact details; and details of the proposed employment including nature of work, location, dates and hours. The employer and parent must confirm they have conducted a risk assessment and parent consents to the employment and certifies the application details. The completed form should be submitted with a photo and birth certificate to the Child Entertainment and Employment, Inclusion office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views2 pages

    Work Permit App Form Aug20

    Uploaded by

    a.r.g.santhosh
    This document is an employer notification form for a child employment permit application in London Borough of Hounslow. It requires information about the child such as name, address, date of birth; the employer such as company name, address, contact details; and details of the proposed employment including nature of work, location, dates and hours. The employer and parent must confirm they have conducted a risk assessment and parent consents to the employment and certifies the application details. The completed form should be submitted with a photo and birth certificate to the Child Entertainment and Employment, Inclusion office.

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    CHILD ENTERTAINMENT & EMPLOYMENT, INCLUSION

    EMPLOYERS NOTIFICATION FORM


    Application to London Borough of Hounslow for the issue of an Employment Permit for the
    undermentioned child.

    TO BE COMPLETED BY THE EMPLOYER IN BLOCK CAPITALS AND SIGNED BY THE EMPLOYER


    AND THE PARENT/CARER

    Company
    Name
    Address

    Postcode Tel.No.
    Employer’s
    Trade
    Employers Employers
    Surname Forename
    Title

    Child’s Child’s Male /


    Surname Forename Female
    Address

    Postcode Tel. No.


    School
    attending DoB

    Nature of proposed Employment (please describe the main tasks)

    Place of proposed Employment

    Start
    Date:

    I confirm that an appropriate Risk Assessment has been carried out under the requirements of
    the Health & Safety (Young Persons) Regulations 1997/1999 and the young person’s parents
    informed of the findings and the control measures introduced to reduce any risk.

    Days and times of employment. Please state exact times.


    Term
    time MON TUES WEDS THURS FRI SAT SUN

    AM
    PM

    Days and times of employment. Please state exact times.


    School
    Holida MON TUES WEDS THURS FRI SAT SUN
    ys
    AM
    PM
    News delivery Hotel/catering/waiting tables/washing up
    Shop-work/sales assistant Packing/labelling
    Cleaning Horticultural/agricultural/gardening
    Shelf stacking/till work Office work
    Caring for people Animal care
    Uncategorised, please describe the main task which must state the following:
    The ‘child’ is permitted to

    Employer’s Date
    Signature

    TO BE COMPLETED BY PARENT

    Has your son/daughter had an Employment Permit Yes No


    before? (please tick)

    If yes, does he/she still carry out the work stated in Yes No
    that Employment Permit (please tick)

    I consent to the employment referred to overleaf and certify that the above particulars are correct.

    I confirm that my child is in good health and able to carry out the employment as described
    without detriment.

    I confirm that the employer has provided me with information about the findings of the risk
    assessment he/she has undertaken and the control measures introduced to reduce any risk
    assessed.

    I understand that this application for my child to be issued with an Employment Permit must be
    made by his/her employer within one week of starting the employment

    Signature Tel
    No
    Please Print your
    Name in Block Date
    Capitals

    On completion, this form should be submitted with a current passport size photograph
    and a copy of the child’s birth certificate by email or post to:

    Child Entertainment and Employment, Inclusion, Hounslow House, 7 Bath Road,


    Hounslow, Middlesex. TW3 3EB

    Email: CEE@hounslow.gov.uk

    Tel: 020 8583 2753

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