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Monroe One Educational Services

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Workers Permit

Apply for a Workers Permit

Please follow these steps to apply for a Workers Permit:

  1. Download form AT-17. Complete only Part 1 with a parent or guardian signature.

     
  2. You will need a current physical dated within 12 months of the application date or the competed physicians form AT-16.

     
  3. Email both documents to Debbie Affeldt or call the EMCC Counseling Center at (585) 387-3816, to set up an appointment to receive your permit.