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If an employee works more than five hours, an unpaid
thirty minute meal period is required. The exception to this policy
is if the employee works less than six hours, and both the employer
and the employee agree to waive the meal period.
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Meal Waiver Company Name ______________________________________ Address ______________________________________ ______________________________________ Waiver of Lunch/Meal Period Employee Name ________________________ As an employee of <Your Company Name Here>, I am regularly scheduled to work a <XX> hour shift. I understand that California Law requires employers to make available a meal period of at least 30 minutes after an employee has worked 5 hours. I have been advised that I am allowed to waive that meal period by signing a waiver with my employer. I have further been advised that I may rescind this waiver on providing my supervisor at least one day’s (24 hours) notice of my intent to do so. My signature below indicates that I am waiving my meal period in order to leave work at the end of 8 straight hours of work.
____________________________________ By Title
____________________________________ Employee Signature Date
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