Employee Request For A Meal Break Waiver
I, __________________________, hereby request that my employer, Tulu Hospitality, allow me to waive my unpaid meal break required by M.G.L. Chapter 149, Section 100. I understand that, by law, I am entitled to a 30-minute unpaid meal break if I work more than six (6) hours during one shift. I am hereby agreeing to continue my responsibilities and duties for this 30-minute period, for which I will be paid.
This waiver does not apply to shifts that last six (6) hours or less, for which no meal break is required.
I have not been forced or coerced by the employer or any representative of the employer to submit this request, it is completely voluntary on my part. I understand that I am free to revoke this request and be granted the required unpaid meal break at any time.
EMPLOYEE SIGNATURE: ____________________________________ EMPLOYEE NAME (printed): ________________________________ DATE: _____________________________________
APPROVED BY SUPERVISOR: ______________________ DATE: ______________________
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