Voluntary Election Meal Period Waiver for 6 Hour Shifts (CA)

Last UpdatedFebruary 16, 2021
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A California employee working more than five (5) hours per day must be provided a meal period of at least thirty (30) minutes. However, if an employee's total workday is no longer than six (6) hours, the employee and employer can mutually agree to waive the second meal period. Employers may use this form to establish such an agreement with an eligible employee.

To learn more about California meal and rest period regulations, visit the CA Dept. of Industrial Relations website.

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NHF10017.3 Voluntary Election Meal Break Waiver for 6 Hour Shifts (CA).pdf
Note: This sample form is provided as a tool for employers. This form is general in nature, and may not be required by law. ManagEase is not a law firm. This form does not constitute legal advice, nor is any attorney-client relationship created or implied. Prior to using this form, we recommend that you consult with an attorney knowledgeable in any potentially applicable federal and/or state laws regarding the specific intended use of this form.
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