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Monroe-Randolph Regional Office of Education
 

Work Permit Information


Workers Permit Procedures

1.  Employer must complete and sign Statement of Intent to Employ Form.

2.  Forms or Documentation Required:

  • Statement of Intent to Employ
  • Parent Approval Form
  • Principal's Statement (if employment is during the school year)  (IL 452-0091)
  • Certificate of Physical Fitness (IL 452-0099)
  • Copy of birth certificate

   Click the link below for more information    

U.S. Dept. of Labor, Youth Rules Website 

      Forms may be picked up at either our Chester or Waterloo office. 

Regional Office of Education
#1 Taylor Street, Rm. 101
Chester, IL  62233

Regional Office of Education
107 E. Mill Street
Waterloo, IL  62298

Completed forms may be submitted to the Chester or the Waterloo office.  A copy of the student's certified birth certificate must accompany the completed forms.  The permit will be issued the same day properly completed forms are submitted.  Forms returned to the Chester office will be faxed to the Waterloo office.  The permit will be mailed directly to the student.  Upon receit of the permit the student is required to sign it and return the proper copy to our Waterloo office.

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