Texas Workforce Commission Information About Certificate Of Age
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1TEXAS WORKFORCE COMMISSION
LABOR LAW SECTION
101 East 15th Street, Room 124T, Austin, Texas 78778
Information about Certificate of Age
If a prospective or current employer asks a child, ages 14 to 17, to furnish a Certificate of Age, the certificate may be obtained from the
Texas Workforce Commission. To obtain a certificate, provide the following information to the Texas Workforce Commission, Labor
Law Section, 101 East 15th Street, Room 124T, Austin, Texas 78778-0001:
1. Completed application (below).
2. Any one of the following (copies preferred) as proof of age :
a. Birth Certificate
b. Baptismal Certificate showing date of birth
c. Life insurance policy insuring the life of the child and reflecting the date of birth.
d. Passport or certificate of arrival in the United States issued not more than one year prior to the date of application for certificate,
OR
e. A school record or school census record of age with sworn parental statement and physician’s Certificate of Age.
1½
1½
3. An ORIGINAL of a recent photograph, full face and head shot, approximately
inches by
inches (color or black and white).
Legible copies of documents are preferred instead of original documents. Any original documents will be returned with the
identification card. If you have any questions about the Certificate of Age or the child labor provisions of the Texas Labor Code, please call
1-800-832-9243 (TDD 1-800-735-2989) or 512-475-2670.
Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to the TWC Labor Law Section, 101 E. 15th St., Rm. 124T, Austin, TX
78778-0001, (512) 475-2670. Individuals may receive and review information that TWC collects about the individual by emailing to
open.records@twc.state.tx.us
or writing to
TWC Open Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.
Texas Workforce Commission
Application for Certificate of Age
IMPORTANT: Complete this form carefully. Print or write plainly. No Certificate of Age will be issued until a
completed application form, photograph and appropriate documentary proof of age have been received.
1. Name (First, Middle, Last)
2. Sex: Male
Female
3. Address
4. City
5. State
6. Zip Code
7. Home Telephone Number
8. Social Security Number (optional)
9. Date of Birth (Month, Day, Year)
(
)
10. Place of Birth (City, State)
11. Father’s full name
12. Mother’s full name
If for any reason other than marriage, your last name as shown on this application is not the same as that shown on
13.
the documentary proof of date of birth attached to this application, please indicate when your name was changed
and where this change is recorded (i.e. court records, school records, etc.).
14. The following must be completed in order to process your application:
___ Application completed and signed
___ Proof of age enclosed
___ Original photograph enclosed
15. If school records are submitted as proof of age, they MUST include ALL of the following:
a. Sworn parental statement
b. Physician’s certificate of age
c. School census record of age
_____________________________________________________________
______________________________
Signature of parent, guardian, or person having custody
Date
LLCL-72 (0907) Inv. No. 623325
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