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.
| Question | Answer |
|---|---|
| Form Name | Lunch Break Waiver |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | california meal waiver, ca break, lunch waiver, california meal break waiver |
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
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.
3/2012