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Get Work Permit Indiana

M must be completed before a "Permit to Employ Work" form (CDE B1-4) can be issued to a minor. (CaliforniaEducation Code 49110.1 c ) and (Print Information) lVlinor's Information Minor's Name (Flrsf and Last) Birth Date Home Phone Social Security Number Home Address Grade City School.Infor*ation ,i ,, ' CATHEDRAL HIGH SCHOOL Age Zip Code 323-225-2438 School Name School Phone 1253 Bishops Road School Address Los Angeles 90012.t453 City Zip Code To be filled in and signed by emp.

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