2021 - 2022 WORKING PAPER INSTRUCTIONS

Congratulations on your new job. Please follow the directions below for completing and submitting your working papers form. All forms should be submitted to workingpapers@epsnj.org. Working papers are processed Monday through Friday from 8am t o 3pm .

Before you begin , remember to Use a Blue or Black Ink Pen to Complete the Form
Step 1:
Section A. Fill out this section completely on the available fields in the form. REMEMB ER TO COMPLETE THE PARENT/GUARDIAN SIGNATURE. ONLY THE LAST FOUR DIGITS OF YOUR SOOAL SECURITY NUMBER ARE NE EDED ON THE FORM

Step 2:
Section B. Have employer complete this section in its en tirety and sign. The employer MUST provide a start and end time. For example 5pm to 9pm or 10:30am to 3pm.

Step 3:
Section C. Physician's Section. This must be completed and signed by a licensed physician. The Physician's office MUST stamp the form with a valid office stamp that include s the doctor's office address.

Step 4:
Section E. Fill in your school address and la st grade completed, for example if you are presently in the 11 th grade, you would put in 10th in that section.

Step 5:
Section F. Studen t mu st sign SectionF. Sign above the line that says signature of min or.

Step 6: Once Sections A-F have been COMPLETED Scan the form using Office Lens (It is a free Microsoft App, sign in with your district student email address)

Directions to scan the form for Droid Operating Systems
1) Open Office Lens, choose document
2) Tap the white circle to scan
3) Adjust borders to capture the whole form (if needed) then select "CONFIRM"
4) Next select the orange "DONE" button
5) Next Edit the title with your student name and student ID number ex. (Jane Smith 123456)choose "PDF" and hit save
6) Email the saved file to workingpapers@epsnj.org . In your email please include your name, school, student ID#, and
email address where you can be contacted. You will receive a response within 48 hours.

Directions to scan the form for iPhone Users
1) Open Office Lens, choose document
2) Tap the white circle to scan
3) Adjust borders to capture the whole form (if needed) then select "DONE"
4) Next select the orange "DONE" button
5) Next Edit the title with your student name and student ID number ex. (Jane Smith 123456) choose "PDF" and select
"phone storage"
6) Email the saved file to workingpapers@epsnj.org . In your email please include your name, school, student ID#, and email
address where you can be contacted. You will receive a response within 48 hours.
If you should have any questions please contact Mr. Donald Stewart at workingpapers@epsnj.org or 908-436-6543.