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Working Child Permit Application Form
DOLE application form for working child permit
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. __________
Provincial/Field Office ________
Passport
Size
Photo
WORKING CHILD PERMIT
APPLICATION FORM
3.5 cm. x 4.5 cm.
PERSONAL DATA OF THE CHILD
Name of Child: _________________________________________________________________________________________
(Last Name)
(First Name)
(Middle Name)
Home Address: _________________________________________________________ Contact Details: _________________
Date of Birth: ___________________________ Place of Birth: ______________________________________
Sex:
Male
Female
Education:
Age: _____
Grade level (specify if applicable) __________________________
NAME OF PARENTS/GUARDIAN
Father: _______________________________________________________________ Occupation: _____________________________________________________
Mother: _______________________________________________________________ Occupation: _____________________________________________________
Guardian: _____________________________________________________________ Occupation: _____________________________________________________
A. FOR PUBLIC ENTERTAINMENT OR INFORMATION
Terms and Conditions
Title of Project/Activity: _____________________________________________________________________________ Talent Fee _______________________
Description of role of the child: ______________________________________________________________________________________________________
Date/s
Location (Specify details)
Call Time
No. of Hours of Work
Note: Please use extra sheet if necessary
The following are provided to the child:
comfortable workplace and adequate quarters
break or rest periods in comfortable day beds or couches
clean and separate dressing rooms and toilet facilities for boys and girls
adequate meals and snacks and sanitary eating facility
all the necessary assistance to ensure adequate and immediate medical
and dental attendance and treatment to an injured or sick child in case
of emergency
others, please specify _______________________________________
Data on Employer
Producer
Advertiser
Ad Agency
Talent Caster
Talent Agent
Talent Manager
Others, specify ___________
Name of Establishment/Company: _______________________________________________________________ Tel. No.: ______________________________
Address: ____________________________________________________________ Fax: ___________________ E-mail: _______________________________
Business Permit No./Mayor’s Permit No.: _______________________________________ Date Issued: _______________________ Valid Until: ____________
B. FOR FAMILY UNDERTAKING
The child works under the sole responsibility of parent
guardian
family member other than parent, specify _______________________
Nature of business/undertaking: _________________________________________ Location: ____________________________________________________
Specify the child’s activity or work: _____________________________________________________________________________________________________
I hereby certify that the information contained herein are true and correct to the best of my knowledge.
_________________________________________
Printed Name and Signature of Employer
________________________________________
Printed Name and Signature of Authorized
Network Representative, if for Television
_________________________________________
Printed Name and Signature of
Parent/Guardian
_________________________________________
Designation
ACTION OF DOLE REGIONAL/PROVINCIAL/FIELD OFFICE
DOCUMENTS SUBMITTED
FIRST APPLICATION
Notarized and duly accomplished WCP Application Form
Proof of schooling (any of the following)
Certificate of Enrollment
Current School ID
Certified True Copy of Current Report Card
If the child is not enrolled, Notarized Affidavit that the child shall be enrolled in
the next school year (if applicable)
Authenticated copy of the child’s Birth Certificate or Certificate of Late
Registration of Birth issued by the Philippine Statistics Authority or
city/municipal registrar
Medical Certificate issued by a licensed physician showing the physician’s full
name, signature and license number (valid within 1 month from date of
issuance)
Two (2) passport size photographs of the child
Any valid government issued ID of parent/guardian
When the employer is the parent, guardian, or a family member other than the
parent of the child
For legal guardian – Authenticated proof of legal guardianship
For family member – Proof of relationship to the child
When the employer is in public entertainment or information
Certified true copy of the employer’s business permit or Mayor’s
Permit
Notarized Employment Contract between the employer and the
child’s parents or guardian
Application fee (P100.00)
Date Received:__________________
SUCCEEDING APPLICATIONS
Notarized and duly accomplished WCP Application Form
Previously issued WCP Card
Proof of schooling (any of the following)
Certificate of Enrollment
Current School ID
Certified True Copy of Current Report Card
Medical Certificate issued by a licensed physician, showing the physician’s full
name, signature and license number (valid within 1 month from date of
issuance)
Two (2) passport size photographs of the child
Any valid government issued ID of parent/guardian
Trust Fund Certificate issued by a bank under the child’s name (if applicable)
When the employer is the parent, guardian, or a family member other than the
parent of the child
For legal guardian – Authenticated proof of legal guardianship
For family member – Proof of relationship to the child
When the employer is in public entertainment or information
Certified true copy of the employer’s business permit or Mayor’s
Permit
Notarized Employment Contract between the employer and the
child’s parents or guardian
Application fee (P100.00)
