Child Labor Special Orders

Provide the following information in writing at least two weeks prior to a special order.

If you have any question regarding the special order process, contact the Child Labor Staff.

Requestor Information

Title

Requestor Contact Information

Company Information

Minor Information

Minor's Name
Birth Month Birth Day Weight
xxx-xx-

Work Information
more items

Submit a completed Child Labor Permit for each minor under age 16 with your request. Please click on Child Labor Permit for a copy of this required form.

Please attach all forms to this request.

Unlimited number of files can be uploaded to this field.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Authorization Information

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Signature

Sign above
Title