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 Title Pistachio Hair Studio LLCΔ
