Ca meal break form 2025

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  1. Click ‘Get Form’ to open the California Meal Period & Rest Break Premium Request Form in the editor.
  2. Begin by filling in the date on which you were required to work through your first and second 30-minute meal periods. Enter these dates in the designated fields.
  3. Next, indicate the dates for when you were required to take your first and second meal periods after the fifth and tenth hours of work, respectively.
  4. In the sections regarding rest breaks, specify any instances where you were not authorized to take your first, second, or third rest breaks by entering the relevant dates.
  5. Print your name clearly in the employee section along with your Employee ID number. Ensure all information is accurate before submission.
  6. Once completed, submit the form to your Supervisor by the end of the pay period for their review and signature.
  7. Finally, ensure that your Supervisor fills out their section and submits it to the Payroll Department by the end of the pay period.

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If your employer is automatically deducting 30 minutes for a lunch break that you never actually take, they could be violating federal wage laws. Under the Fair Labor Standards Act, employers can only deduct for bona fide meal breaks where you are fully relieved of duty.
The FLSA does not require meal or break periods. Makes the distinction between rest periods of 5 to 20 minutes and compensable waiting time or on-call time, all of which are paid work time. Meal periods are not compensable work time.
Most California workers must receive the following breaks: An uninterrupted 30-minute unpaid meal break when working more than five hours in a day. An additional 30-minute unpaid meal break when working more than 12 hours in a day. A paid 10-minute rest period for every four hours worked.
Meal and Break Obligations In California. You cannot employ someone for more than five hours without providing an unpaid, off-duty meal period of at least 30 minutes.
If you have worked five hours or more, your workplace is required to give you a 30-minute meal break. Your meal break should begin sometime before the last hour of your shift. It is not required for you to take this meal break. If you have worked less than 6 hours in a day, you can agree to forego your meal break.
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