Employer Form for Child Employment

1Your Details 2Enquiry Details

Your Details

Address

Enquiry Details

Nature of Business

Forename of child

Surname of child

Child's gender

Male Female

Child's date of birth

School Attended by Child

Nature of employment proposed for child

Place of employment

Dates and Times Employed

School days between the hours of

and

Saturdays and holidays between the hours of

and

Sundays between the hours of

and

Employer's Declaration

I will ensure that during the course of employment the child wears suitable clothes and footwear. I the undersigned do certify that a risk assessment has been carried out in relation to the above employment and that the findings have been shared with the Parents/Guardians and the child. I enclose/don’t enclose a copy of the risk assessmen document.I hold an employer liability insurance