Working Papers - Summer 2025 (effective 6/16/25)

Applications are available in the Lancaster High School Health and Main Offices, Lancaster Middle School, St. Mary's High School, and various private schools in the area. 

Or, use one of the following links to access the proper working paper application: 

• General Employment:
  Application for Employment Certificate AT-17
   
• Newspaper/Farmwork:
  Application for Employment Permit AT-22

Complete Part I of the form - Make sure a parent/guardian signs the application.

In order to process the application, the following documents must be provided.

1.  Proof of the Applicant's Age

Please provide a copy of one of the following: 

• Birth Certificate  (A certificate issued by the hospital will not be accepted.)
• Drivers License/Permit 
• U.S. Passport
• Baptism Certificate       

2.  A Current Physical (Required NYS School Health Examination Form):

• It must be dated within the last 12 months from the date the application is processed.
• It must be checked on the physical form that the person is qualified to work.  If it does not specify this, the physical will not be accepted. 
• A "Summary of Visit" is not a physical and will not be accepted. 
• In lieu of the physical, you can submit the Physical Fitness Certification Form AT-16 (completed by the applicant's physician).

Please send the application and accompanying documentation to the Health Office in any of the following ways:

1. Drop it off at the LHS Health Office, Mondays - Fridays between 8:30 am & 11:30 am. 
2. By way of the locked drop box located to the right of the Main Entrance Doors of the High School
3. Via the U.S. Postal Service (USPS) at:  
        Lancaster High School
        Attn: Paula Scarpello / Health Office
       1 Forton Drive
        Lancaster, New York 14086
4. Fax it to (716) 686-3268.  The fax machine is located in the Health Office, so anything faxed to this number remains completely confidential.

** Do not send any sensitive information (birth certificates) via email **

** Do not send a passport or an original birth certificate via USPS **