Meal Break Waiver

    Meal Break Waiver – Employee Shift 6 Hours or Less
    I am scheduled to work a shift of 6 hours or less on:
    From the hours of a.m./p.m. (circle one) to a.m./p.m. (circle one).
    I understand that: 1. 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. 2. In order for this waiver to be valid, an authorized company official must also authorize the waiver in writing by signing below. 3. I may revoke this agreement to waive, in writing, my meal break at any time by signing this form as indicated below.

    Employee Signature :

    REVOCATION: I hereby revoke this waiver.

    Employee Signature :

    For Employer Use Only:
    Check One :
    Your meal break waiver request has been approved and submitted.
    Your meal break waiver request has been denied.

    Employer Signature :

    Please Print Name
    Pistachio Hair Studio LLC

    Pistachio Hair Cut & Color Bar
    Phone: 760.230.4880
    cash, credit card
    6965 El Camino Real, Suite 206, Carlsbad, CA 92009
    Carlsbad , California 92009