Free Oregon Wh 216 1 PDF Form

Free Oregon Wh 216 1 PDF Form

The Oregon Wh 216 1 form serves as the Annual Employment Certificate Application for minors aged 14 through 17, aiming to streamline the employment process of underage workers in Oregon. It gathers essential details such as the business name, contact information, type of business, and plans for employing minors, including the types of duties they will perform and the machinery they will operate. This document plays a crucial role in ensuring compliance with child labor laws, safeguarding both minors and employers by establishing a clear framework for youth employment.

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In the state of Oregon, safeguarding the rights and well-being of minors in the workforce is of utmost importance, and the Oregon WH-216-1 form plays a critical role in this effort. Managed by the Bureau of Labor and Industries' Wage and Hour Division, this document serves as an Annual Employment Certificate Application, catering to minors aged 14 through 17. Businesses are required to provide detailed information, such as the business and corporation names, type of business, NAIC Code, and both the site and mailing addresses. Crucially, the form requires employers to estimate the number of minors they plan to employ in the coming year and to specify whether these minors will be in the age brackets of 14-15 or 16-17. Additionally, it demands a comprehensive description of the roles these minors will fill, including their duties, the work areas, and the locations where their work will take place. Employers must also list any power-driven machinery or equipment the minors will operate or assist in operating, and if minors will be employed in agriculture, specifics about their involvement with tractors and other farm machinery. By signing the form, employers affirm that the information provided is accurate and commit to employing minors in accordance with the application, complying with child labor laws, and reporting any changes to the Bureau of Labor and Industries. This form serves as a cornerstone in the framework designed to ensure the safety and fair treatment of young workers in Oregon.

Document Example

BUREAU OF LABOR AND INDUSTRIES

Wage and Hour Division

ANNUAL EMPLOYMENT CERTIFICATE APPLICATION

for minors 14 through 17 years of age

Business Name _____________________________________________ Telephone (_____) ___________Ext.

Corporation Name (if any)

Type of Business____________________________________________ NAIC Code (if known) __________________

Site Address

 

(Street)

(City)

(State)

(Zip)

(County)

Mailing Address

 

 

 

 

 

(Street/P.O. Box Number)

(City)

(State)

(Zip)

(County)

1.ESTIMATE the number of minors to be employed in the next twelve (12) month period:

2.Do you anticipate employing 14-15 year olds? Yes ______ No ______ 16-17 year olds? Yes ______ No

3.Describe the duties of the minors to be employed, the work areas, and the address(es) where the work is to be performed, if other than the above site. Please attach a list of locations if necessary.

4.List all power-driven machinery/equipment minors will operate or assist in the operation of:

5. Do you anticipate employing minors in agriculture?

Yes _____

No _____

Operation of or riding in or on a tractor?

Yes _____

No _____

Operation of or riding in or on other farm machinery?

Yes _____

No _____

I certify that the information contained in this application is true and that I have received a summary of the child labor laws. I agree to:

1)Employ minors consistent with the application herein;

2)Comply with child labor laws; and

3)Report any changes in the above information by filing a Notice of Change (To Annual Employment Certificate) form between renewal periods within 15 days of the change.

_________________________________________________________________________ Date

(Signature of Employer or Representative)

______________________________________________ Telephone No. (_____)_________________ Ext.

(Printed Name of Employer or Representative)

RETURN THIS APPLICATION TO:

Bureau of Labor and Industries

Child Labor Unit - Suite 1045

800 NE Oregon Street

Portland, OR 97232-2180

Telephone: (971) 673-0836

Fax: (971) 673-0769

WH-216-1 (Rev. 6/08)

File Features

Fact Number Description
1 The Oregon WH-216-1 Form is used for Annual Employment Certificate Applications for minors aged 14 through 17.
2 This form is managed by the Wage and Hour Division of the Bureau of Labor and Industries.
3 Employers are required to estimate the number of minors to be employed in the next twelve months.
4 It distinguishes between the employment of 14-15 year olds and 16-17 year olds, with specific sections for each age group.
5 The form requires employers to describe the duties, work areas, and addresses where minors will be employed, including operation of power-driven machinery/equipment.
6 Completion and submission of the form affirm that the employer has received a summary of child labor laws and agrees to comply with them, along with reporting any changes in employment conditions by filing a Notice of Change form within 15 days of the change.

Oregon Wh 216 1: Usage Guide

Filling out the Oregon WH 216-1 form is necessary for businesses intending to employ minors aged 14 through 17. This document helps ensure that the employment of these young workers adheres to regulatory standards for their safety and wellbeing. Completing this form accurately is a critical step in the hiring process. Here's a straightforward guide to help you navigate through each section of the form.

  1. Start by writing the Business Name at the designated space at the top of the form.
  2. Provide the Telephone Number of the business, including the area code, and fill in the Extension number if applicable.
  3. If your business operates under a corporation, enter the Corporation Name.
  4. Describe the Type of Business in the field provided. Be brief but descriptive.
  5. If known, fill in the NAIC Code, which helps in identifying the primary business activity.
  6. Enter the Site Address, including Street, City, State, Zip, and County where the minors will be working.
  7. Provide the Mailing Address if it's different from the Site Address. Again, include Street/P.O. Box Number, City, State, Zip, and County.
  8. In the section asking you to estimate the number of minors to be employed in the next twelve months, enter your estimate.
  9. Answer whether you anticipate employing 14-15 year olds and 16-17 year olds by marking Yes or No accordingly.
  10. Describe the duties of the minors, the work areas, and provide the address(es) where the work will be performed. If more space is needed, attach a separate list of locations.
  11. List all power-driven machinery/equipment minors will operate or assist in operating.
  12. Indicate whether you anticipate employing minors in agriculture, and specify if they will operate or ride in or on a tractor or other farm machinery by marking Yes or No.
  13. Read the certification statement carefully. By signing the form, you certify that the information provided is true and that you agree to employ minors in accordance with this application, comply with child labor laws, and report any changes to this information within 15 days by filing a Notice of Change form.
  14. Sign and date the form at the bottom. Also, print the name of the employer or representative and provide a telephone number with an extension if available.
  15. Finally, send the completed form to the Bureau of Labor and Industries Child Labor Unit at the address provided at the bottom of the form.

Once submitted, your application will be processed, and you will receive a response from the Bureau of Labor and Industries. It is important to keep a copy of this form for your records and to be prepared to make any necessary adjustments if your employment needs change. Following these instructions carefully will help ensure that your application is completed accurately and efficiently, paving the way for a successful partnership between your business and its future young employees.

Crucial Points on Oregon Wh 216 1

What is the purpose of the Oregon WH-216-1 form?

The Oregon WH-216-1 form is designed for businesses planning to employ minors between the ages of 14 and 17. Its primary purpose is to obtain an Annual Employment Certificate, which allows the business to legally employ minors. The form requires businesses to provide estimates of the number of minors they intend to employ in the next twelve months, whether they plan to employ 14-15 year-olds or 16-17 year-olds, the duties and work areas of the minors, and any power-driven machinery or equipment the minors will operate. Completing this form ensures that the employment of minors complies with the Oregon child labor laws, aiming to protect minors by regulating their work conditions, hours, and the types of work they are permitted to do.

Who needs to fill out the Oregon WH-216-1 form?

Any business in Oregon that plans to hire minors aged 14 through 17 must fill out the WH-216-1 form. This includes all sectors, whether the employment is in agriculture, retail, food services, or any other industry. The form must be completed and submitted by the employer or a representative of the business intending to hire minors. This step is crucial for obtaining the required Annual Employment Certificate, without which, hiring minors would violate state labor laws.

What information do I need to provide on the form?

To complete the Oregon WH-216-1 form accurately, the following information is needed:

  • Business Name and Corporation Name (if applicable)
  • Type of Business and NAIC Code (if known)
  • Contact information, including telephone and mailing addresses
  • An estimate of the number of minors to be employed in the next twelve months
  • Whether the business anticipates employing 14-15 year-olds or 16-17 year-olds
  • Description of the duties, work areas, and addresses where the minors will be employed
  • A list of all power-driven machinery/equipment minors will operate or assist in operation
  • Whether minors will be employed in agriculture and specific operations involving tractors or other farm machinery
Additionally, the employer or representative must certify that the information provided is true and agree to employ minors in accordance with the application and comply with child labor laws.

Where do I submit the completed WH-216-1 form?

Once completed, the Oregon WH-216-1 form should be submitted to the Bureau of Labor and Industries' Child Labor Unit. The physical address for submission is Suite 1045, 800 NE Oregon Street, Portland, OR 97232-2180. The form can also be submitted by fax at (971) 673-0769. It's important to ensure that the form is filled out completely and accurately before submitting to avoid any delays in the processing of the Annual Employment Certificate.

After submitting the Oregon WH-216-1 form, employers have several legal responsibilities, including:

  1. Employing minors in a manner consistent with the information provided on the form.
  2. Complying with all Oregon child labor laws, which include regulations on working hours, permissible job types for minors, and required breaks.
  3. Reporting any changes in the information provided on the WH-216-1 form. This includes changes in the number of minors employed, the nature of their duties, or the work environment. Employers must file a Notice of Change to the Annual Employment Certificate form within 15 days of any change.
Failure to adhere to these responsibilities can result in penalties and may affect the employer's ability to hire minors in the future.

Common mistakes

When filling out the Oregon WH-216-1 form, which is the Annual Employment Certificate Application for minors aged 14 through 17, there are common mistakes that applicants should avoid to ensure their application is processed smoothly and complies with state regulations. Being aware of these errors can save time and prevent potential legal complications.

  1. Not providing complete information regarding Business and Corporation Name: Failing to fill out both the Business Name and the Corporation Name (if applicable) can delay the processing of the application.

  2. Incorrect or missing NAIC Code: Not including the North American Industry Classification System (NAIC) code, or including an incorrect code, can lead to misclassification of the business type.

  3. Inaccurate estimation of minors to be employed: It’s crucial to accurately estimate the number of minors to be employed in the next 12 months, as underestimating or overestimating can affect compliance with child labor laws.

  4. Failure to specify the age range of minors employed: Not indicating whether the employer anticipates employing 14-15 year olds, 16-17 year olds, or both, can lead to potential violations of age-specific labor laws.

  5. Omitting details about minors' duties and work areas: Employers must describe the duties of the minors to be employed, the work areas, and the address(es) where the work will be performed. Neglecting to provide this information can result in rejection of the application.

  6. Not listing power-driven machinery/equipment: Employers are required to list all power-driven machinery or equipment that minors will operate or assist in operating. Failure to list this equipment can endanger minors and lead to legal issues.

  7. Incorrect indication regarding the employment of minors in agriculture: Accurately indicating whether minors will be employed in agriculture and if they will operate or ride in or on a tractor or other farm machinery is essential for compliance with specific agricultural regulations.

  8. Forgetting to sign and date the application: The application is not valid unless it is signed and dated by the employer or the employer’s representative. An unsigned or undated application will not be processed.

To ensure that the process of applying for an Annual Employment Certificate in Oregon is smooth and complies with the child labor laws, attention to detail is vital. Avoiding these common mistakes can help in the swift approval of the form, allowing minors to engage in work experiences safely and legally.

Documents used along the form

When engaging in the employment of minors, particularly in Oregon, the Oregon WH-216-1 form is a significant document that requires businesses to apply for an Annual Employment Certificate. This form is crucial for ensuring compliance with state labor laws regarding the employment of minors aged 14 through 17. However, to thoroughly comply with regulations and maintain a clear and lawful working relationship with minor employees, several other forms and documents are often used in conjunction with the Oregon WH-216-1 form. Each plays a vital role in safeguarding both the employer and the minor employees, ensuring clarity, compliance, and protection for all parties involved.

  • Notice of Change (To Annual Employment Certificate) - This document is critical for employers who have filed an Oregon WH-216-1 form. It allows businesses to report any changes in the information provided in the original application, such as changes in the number of minors employed, the type of work performed, or machinery operated by minors. Timely updates through this form help maintain compliance with child labor laws and ensure that all employed minors are working under safe and legal conditions.
  • Parental Consent Form for Minor Work Permit - While not always required, a Parental Consent Form is a key document that provides documented consent from a minor's parent or guardian for their child's employment. This form is particularly important when minors are employed in certain industries or when specific circumstances necessitate parental consent, ensuring parents are informed and agree to the terms and conditions of their child's employment.
  • Minor Injury and Illness Record - Keeping records of any injuries or illnesses that occur at the workplace is fundamental for all employees, but even more so for minors. This form helps employers document any workplace-related injuries or illnesses that affect minor employees, facilitating proper reporting and management of workplace safety incidents. It's essential for both regulatory compliance and for implementing measures to prevent future incidents.
  • Hours of Work for Minors - This document outlines the permitted working hours for minor employees, specific to their age, the time of year (school year versus summer break), and type of work. It serves as a guide for employers to ensure that the employment of minors does not violate state regulations concerning the maximum allowed working hours, ensuring that work does not interfere with minors' education or well-being.

Together, these forms and documents support the comprehensive and lawful employment of minors in Oregon. They facilitate understanding and compliance with labor laws, protect the rights and safety of minor employees, and guide employers in maintaining ethical and legal employment practices. Navigating the complexities of employing minors requires attention to detail and a commitment to adhering to regulatory standards, for which these documents are foundational. Through diligent completion and maintenance of these forms, employers can foster a safe, compliant, and nurturing work environment for all employees, including the youngest members of the workforce.

Similar forms

The Oregon WH-216-1 form, an Annual Employment Certificate Application for minors aged 14 through 17, shares similarities with the Federal I-9 Employment Eligibility Verification form. Both forms are crucial for employers to ensure compliance with labor laws, specifically relating to the employment eligibility and age verification of their workers. Whereas the Oregon WH-216-1 focuses on the employment of minors within the state, highlighting the need for clear descriptions of the duties and restrictions on the operation of certain machinery, the I-9 form is used nationwide to verify the identity and legal authorization of individuals to work in the United States, irrespective of age.

Similarly, the W-4 form, or Employee's Withholding Certificate, parallels the Oregon WH-216-1 in its necessity for employment processes, albeit focusing on federal tax withholding instead of labor law compliance for minor workers. Employers use the W-4 to determine the correct federal income tax to withhold from employees' paychecks. Like the WH-216-1, which guides employers on the lawful employment of minors by outlining the roles and restrictions applicable, the W-4 is a standard step in the hiring process, ensuring employees are correctly taxed from their earnings.

Another document resembling the Oregon WH-216-1 is the Minor's Work Permit, often required by states other than Oregon. These permits serve a similar purpose by outlining the conditions under which minors may be employed, including the types of jobs, hours, and conditions under which minors are legally allowed to work. Work permits typically require information about the employer, the minor, and the specifics of the job, mirroring the WH-216-1's goal to regulate and document the employment of minors to protect their well-being and rights.

The OSHA Form 300, the Log of Work-Related Injuries and Illnesses, though serving a different primary function, shares the underlying objective of workplace safety and compliance with the Oregon WH-214-1. While the OSHA form is used to record any work-related injuries and illnesses, highlighting the importance of maintaining a safe working environment, the WH-216-1 aims to preemptively ensure the safety of minor employees by regulating the types of work and conditions they are exposed to. Both forms contribute to the accountability of employers in maintaining lawful and safe employment practices.

The Fair Labor Standards Act (FLSA) Certification for certain non-agricultural employment also mirrors aspects of the Oregon WH-216-1. The FLSA Certification is necessary for employers seeking to pay subminimum wages to workers under certain conditions, including young workers. Both documents facilitate the legal employment of younger individuals while ensuring protective measures are in place, focusing on fair pay and safe working conditions as mandated by law.

Finally, the State New Hire Reporting Form, required by states for employers to report newly hired or rehired employees, shares the basic premise of the Oregon WH-216-1 in terms of employment documentation. Although it's primarily used to assist in child support enforcement, it also helps in detecting unemployment fraud and provides a workforce data basis. Like the WH-216-1, it ensures that the employment of individuals, irrespective of age, is adequately recorded and monitored for compliance with various legal requirements.

Dos and Don'ts

Filling out the Oregon WH-216-1 form, an Annual Employment Certificate Application for minors aged 14 through 17, requires attention to detail and an understanding of the legal obligations involved. To help you navigate the process smoothly, here are some dos and don'ts:

Do:
  • Provide accurate and complete information: Accuracy is crucial. Ensure that every field is filled out, from the business name to the NAIC code if known, and the estimated number of minors you plan to employ. This information helps the Bureau of Labor and Industries verify your business and your compliance with labor laws.
  • Describe the duties and work areas clearly: It's important to describe precisely what tasks the minors will be performing, where they will work, and any machinery they might operate. Clarity here ensures compliance with laws specific to minors' employment.
  • Sign and date the application: The form isn't valid unless it's signed by the employer or representative. By signing, you certify that the information is true and that you agree to comply with child labor laws and report any changes.
  • Check yes or no accurately regarding the anticipation of employing minors in agricultural settings and the operation of or riding in or on a tractor or other farm machinery. This specificity is crucial for legal compliance.

Don't:
  • Leave sections blank: If a section doesn't apply to your situation, indicate this with "N/A" or "None," rather than leaving it blank. This demonstrates that you've reviewed each part of the application thoroughly.
  • Guess on details: If you're unsure about certain information, such as the NAIC code or specific labor laws, take the time to research or seek advice. Accurate information is essential for the validity of your application.
  • Overlook the summary of child labor laws: As an employer, it's your responsibility to be familiar with these laws. The certification that you've received and reviewed this summary is a key part of the application.
  • Forget to report changes: If any details change after you've submitted your application, you must file a Notice of Change (To Annual Employment Certificate) form within 15 days. Failing to do so can result in penalties or the revocation of your employment certificate.

By following these guidelines, you can ensure a smooth application process that supports the lawful and ethical employment of minors in Oregon.

Misconceptions

There are several misconceptions regarding the Oregon WH-216-1 form, a crucial document for employers who intend to hire minors aged 14 through 17. Below are five common misunderstandings and clarifications to help ensure proper compliance with the law.

  • It's only for agricultural businesses. Despite a section asking if the minor will be employed in agriculture, the WH-216-1 form is not exclusively for agricultural businesses. It is required for all Oregon businesses planning to employ minors in any sector, whether it be retail, service, or manufacturing, among others.
  • The form is a one-time requirement. This is not the case. The WH-216-1 is an annual employment certificate application, meaning it must be completed and submitted each year an employer intends to hire minors. Additionally, any changes in the provided information must be reported within 15 days through a Notice of Change form.
  • Completion of the form means immediate approval to employ minors. Simply submitting the WH-216-1 form does not grant immediate permission to employ minors. The Bureau of Labor and Industries reviews the application to ensure compliance with child labor laws before issuance of an approval. Employers must wait for this approval to ensure they are in compliance.
  • All minors can perform the same work once an employer is approved. Approval through the WH-216-1 form does not universally permit minors to perform any job. The duties and operations minors can be involved in are heavily regulated, with restrictions on operating heavy machinery or performing hazardous tasks, especially for those between 14 and 15 years old.
  • Only the business name and type are needed to complete the form. While the form requires the business name and type, it also asks for an extensive amount of additional information, including the number of minors expected to be employed and a description of their duties, work areas, and the addresses where they'll be working. This level of detail is necessary to assess the safety and legality of the proposed employment under child labor laws.

Understanding these misconceptions and accurately completing the Oregon WH-216-1 form are fundamental steps in the lawful employment of minors. Employers must ensure that they not only fill out the form correctly but also comply with all child labor laws to provide a safe working environment for young workers.

Key takeaways

Filling out and using the Oregon WH-216-1 form, an Annual Employment Certificate Application for minors aged 14 through 17, is an integral process for employers who plan to hire minors. Here are nine key takeaways to ensure compliance and accuracy during this process:

  • Employers must provide both the business and corporation names, if applicable, alongside the type of business and NAIC Code to accurately identify the business entity.
  • The form requires not only the business site address but also a mailing address, ensuring proper communication channels between the employer and the Bureau of Labor and Industries.
  • Estimating the number of minors to be employed in the next twelve months is crucial for workforce planning and helps the bureau monitor employment trends among minors.
  • Employers need to specify whether they anticipate employing 14-15 year olds or 16-17 year olds, or both, to comply with differing labor laws for each age group.
  • Detailing the duties, work areas, and addresses where minors will be employed provides clarity on the employment environment and ensures safety and legal compliance.
  • Listing all power-driven machinery/equipment minors will operate or assist in operating is a critical safety measure and a legal requirement to prevent accidents and injuries.
  • The question about employing minors in agriculture and their involvement with tractors or other farm machinery addresses specific regulations related to agricultural work by minors.
  • By signing the form, an employer certifies the truthfulness of the provided information, acknowledges receipt of a summary of child labor laws, and commits to employing minors in accordance with the application and complying with all child labor laws.
  • An employer agrees to report any changes in the information provided by filing a Notice of Change (To Annual Employment Certificate) form within 15 days of the change, ensuring current information is on file with the Bureau of Labor and Industries.

In summary, the WH-216-1 form is a necessary compliance step for Oregon employers hiring minors, covering essential details from employment numbers and job duties to safety measures and legal acknowledgments.

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