Meal Break Waiver Form
Please complete this form if you are willing to waive your meal break.
Employee Name
First Name
Last Name
Employee ID
Department
Please Select
Sales
Marketing
Finance
Human Resources
Operations
IT
Other
Reason for Waiving Meal Break
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee Signature
Submit
Should be Empty: