California meal break waiver: Fill out & sign online

Here's how it works

01. Edit your california meal break waiver online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send meal break violation write up sample via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out ca meal break form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the California Meal Period & Rest Break Premium Request Form in the editor.
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.
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.
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.
Print your name clearly in the employee section along with your Employee ID number. Ensure all information is accurate before submission.
Once completed, submit the form to your Supervisor by the end of the pay period for their review and signature.
Finally, ensure that your Supervisor fills out their section and submits it to the Payroll Department by the end of the pay period.

Start using our platform today for free to streamline your document editing and form completion!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

Are breaks 10 or 15 minutes required in California?

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.

Do I have to take a 45 minute lunch break?

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.

What are CAs laws on meal breaks?

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.

What is the meal break rule in California?

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.

How many hours straight can you legally work in California?

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.

meal break violation write up

California meal break waiver form pdf Meal break Waiver template Meal waiver form California 2025 How early can I take my lunch break California On-duty meal break waiver form Meal break waiver form california spanish Ca meal break law What happens if I take my lunch after 5 hours in California