(1) The employer must obtain a special variance form from the participating school and provide the following information:

(a) The minor's work-related duties;

(b) The maximum hours to be worked each week;

(c) The length of the minor's work shifts;

(d) The latest afternoon or evening hour that the minor will work;

(e) The number of days each week that the minor will be required to work the latest afternoon or evening hour;

(f) The employer's unified business identifier (UBI) number;

(g) The expiration dates of the employer's minor work permit endorsements.

(2) The employer must agree to maintain all special variance records according to the terms of WAC 296-125-0275.

(3) Upon completion, the employer must give the form to the minor to complete according to WAC 296-125-0730.