Before submitting an Application for General Hours Deviation, please read these instructions carefully

Department of Energy, Labor & Economic Growth Wage & Hour Division P.O. Box 30476 Lansing, MI 48909-7976 517.322.1825 www.michigan.gov/wagehour Before submitting an Application for General Hours Deviation, please read these instructions carefully. If the application is not completed as indicated in these instructions, it will be returned to you. COMPLETE THIS APPLICATION IF: 1. Records will be maintained on the premises where the minor is employed certifying that work hours do not exceed 48 work and school combined, AND 2. A valid work permit issued by a public, charter or private school is obtained, AND 3. All minors at this establishment will be employed in compliance with the provisions of Act 90, PA 1978, the Youth Employment Standards Act, AND 4. Pay and time records will be maintained and made available for inspection by an authorized representative of the Michigan Department of Energy, Labor & Economic Growth, AND 5. No minor will be employed for more than six days in one week, work longer than a weekly average of eight hours per day, or work more than five consecutive hours without a 30 minute recorded rest period, AND 6. Adult supervision is provided at all times, AND 7. Your business is requesting approval to employ 16 and 17 year olds attending school Monday through Thursday from 6:00 a.m. until 11:30 p.m., Friday from 6:00 a.m. to 12:30 a.m., Saturday from 5:00 a.m. until 12:30 a.m., Sunday from 5:00 a.m. until 11:30 p.m., AND ...