Lunch Break Waiver PDF Details

If you're like most people, you take a break for lunch during the day. But what if your job requires you to stay on site during your lunch break? If that's the case, you may need to fill out a lunch break waiver form. This form allows your employer to waive their requirement that you take a break for lunch. Let's take a closer look at this form and see what it entails.

Below, you will find a number of information about lunch break waiver PDF. You'll have the projected time it might require you to fill in the form as well as extra details.

Form NameLunch Break Waiver
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesmeal break form, california meal waiver form, meal break waivers, meal break waiver agreement

Form Preview Example

Meal Break Waiver Form

Employee Name: _________________________________

ID Number: ___________

(print name)


Waiver Effective Date: ___________


I understand that under California Labor Law, after a work period of 5 hours, I am entitled to receive an unpaid meal break of not less than 30 minutes during which I am relieved of all duties.

I give my consent that I may waive my 30-minute unpaid meal break only when my work and/or scheduled shift will be completed in 6 hours or less in one workday. I understand that if my shift exceeds 6 hours, I am required to take an unpaid meal break of at least 30 minutes.

In order for this waiver to be valid, my supervisor must also authorize the waiver in writing by signing below.

Employee Authorization

Employee Signature: ____________________________

Date: _____________

Supervisor Authorization

Supervisor Signature: ___________________________

Date: _____________

Please return the completed Meal Break Waiver Form to the Payroll Office, located in Filippi Hall (Administrative Building). Be sure to keep a copy for your department on file.


How to Edit Lunch Break Waiver Online for Free

The PDF editor can make filling out documents stress-free. It is very an easy task to manage the [FORMNAME] document. Comply with the next actions so that you can do it:

Step 1: Click the "Get Form Here" button.

Step 2: When you have entered the editing page california meal waiver form, you'll be able to notice all of the options intended for the file within the top menu.

The next sections are included in the PDF template you will be filling in.

part 1 to filling in meal waiver

Jot down the details in Supervisor Authorization, Supervisor Signature, Date, and Please return the completed Meal.

Filling out meal waiver part 2

Step 3: Choose the Done button to save the file. So now it is available for upload to your device.

Step 4: You will need to make as many copies of the document as you can to remain away from potential worries.

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