Department of Labor
Welcome to Minors in Entertainment
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Province
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Postal Code
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Employing Unit Information
Phone Number
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Fax Number:
Email Address
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Student Representative
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(Select 'Yes' if you are a student working on a film for school credit purposes. Select 'No' if you are an Employing Unit hiring minors in entertainment)
Yes
No
Last 5 of SSN
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School Name
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GDOL State Employer Identification Number:
(
Online Tax Registration Service for Employers
)
Federal ID Number (FEIN)
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NAICS Code
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Theater Companies and Dinner Theaters
Dance Companies
Musical Groups and Artists
Other Performing Arts Companies
Promoters of Performing Arts, Sports, and Similar Events with Facilities
Promoters of Performing Arts, Sports, and Similar Events without Facilities
Agents and Managers for Artists, Athletes, Entertainers, and Other Public Figures
Independent Artists, Writers, and Performers
Worker's Compensation
Policy Number
Select type(s) of work to be performed
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Model
Extra
Actor
Film
Radio
Broadcasting
Reality Series
Photography
Live Production
Musical
Other
Other type of work to be performed
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Employing Unit Representative Information
Employing Unit Representative First Name:
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Mr.
Mrs.
Ms.
Employing Unit Representative Middle Initial:
Employing Unit Representative Last Name:
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Employing Unit Representative Suffix:
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Jr.
Sr.
I
II
III
Esq.
Employing Unit Representative Title
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Employing Unit Representative Phone Number
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Employing Unit Representative Fax Number:
Willing to accept text messages?
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No
Employing Unit Representative Cell Phone Number
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Employing Unit Representative Email Address
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(Please note the email address provided will also be used as your user id during login)
Confirm Email Address
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Acknowledgements:
Specific rules regarding the employment of Minors in Entertainment, such as definitions, age, hours of participation, and educational and other requirements can be found in the
GDOL Rules - Chapter 300-7-1 - Child Labor - Minors in Entertainment
.
I, the undersigned, as evidenced by my electronic signature, hereby attest that I am of lawful age; that I am the applicant or authorized signer for the applicant; that the information provided herein above, to my knowledge is true and correct; that I have reviewed, the Georgia Department of Labor's Rules 300-7-1.01 et seq and Georgia law as set forth in O.C.G.A. §§ 39-2-18, 39-2-19 and 39-2-20 concerning Minors in Entertainment. I acknowledge and understand that the filing of false information may make me subject to the penalties set forth O.C.G.A. § 16-10-20.
Click to Acknowledge.
Electronic Signature
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