Employment & HR

Meal & Rest Period Waiver

Employee voluntary waiver of meal period rights as permitted by California Labor Code § 512 for shifts meeting the statutory threshold. Covers first and second meal period waiver conditions, rest period acknowledgment, and revocation rights. Appropriate for California employers; other states have different rules.

📄 1 signer📅 30-day expiry🏷 Employment & HR🔖 meal-period, rest-period, waiver, california, labor-code, hr, employment, wage-hour

About this template

The Meal & Rest Period Waiver is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers meal period, rest period, waiver, california, labor code, hr. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Meal & Rest Period Waiver This waiver is entered into voluntarily between the employee and the employer. It documents the employee's election to waive specific meal period rights under California law for qualifying work periods. --- ## Part A — Employee Information **Full Legal Name:** ___________ **Employee ID / Personnel Number:** ___________ **Department:** ___________ **Job Title:** ___________ **Manager / Supervisor Name:** ___________ **Work Email:** ___________ **Work State (for applicable wage-hour law):** ___________ --- ## Part B — Applicable IWC Wage Order Under California law, meal and rest period requirements may vary slightly by industry based on the applicable IWC Wage Order. **Applicable IWC Wage Order (select the one covering your occupation):** ___________ --- ## Part C — First Meal Period Waiver Under California Labor Code § 512(a), an employee who works no more than 6 hours per day may, by mutual consent with the employer, waive their right to a first 30-minute meal period. **Do you wish to waive your first meal period?**

Fields (24)

employee name
text · required
employee id
text · required
department
text · required
job title
text · required
manager name
text · required
work email
email · required
work state
select · required
wage order
radio · required
first meal waiver
radio · required
first waiver shifts
radio · required
first waiver shift detail
textarea
first waiver understanding
checkbox · required
second meal waiver
radio · required
second waiver understanding
checkbox · required
rest period ack
checkbox · required
premium pay ack
checkbox · required
effective date
date · required
waiver duration
radio · required
expiration date
date
revocation right ack
checkbox · required
voluntary ack
checkbox · required
informed ack
checkbox · required
accuracy ack
checkbox · required
employee printed name
text · required

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Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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