A minor must provide the following personal information:

1. (1) Name.
2. (2) Address.
3. (3) Date of birth*.
4. (4) Whether he or she is employed at any other job(s) and the total number of hours worked at that job(s).

5. (5) His or her signature.

   *Note:	The date of birth must be supported by proof. Acceptable forms of proof are:
   	□ A birth certificate and a Social Security card; or
   	□ A driver's license; or
   	□ A baptismal record and a Social Security card; or
   	□ A notarized statement of a parent or guardian.

[Statutory Authority: RCW 49.12.121. WSR 99-02-041, § 296-125-0263, filed 12/31/98, effective 1/31/99.]