Attestation for Late/Missed Meals
On my regularly scheduled work date, I exceeded my first/second meal period break.
I hereby certify that my employer provided me with the opportunity to take all rest breaks and meal periods
on the workday and I am fully aware that my employer requires that I take a meal period of 1 hour before
the fifth hour of work starts unless I work less than 6 hours on any day.
I also understand that a second 30-minute meal period is required if I work beyond 10 hours unless my
workday ends at 12 hours for that day and a meal period waiver for the first meal break was not required.
I understand by my signature below that I waive my meal premium due to voluntarily taking my lunch after
the 5th hour. It was not that the company did not allow me to.