On-Duty Meal Period Agreement

Name*
First Last
Job Title*
On-Duty Meal Period Agreement
I understand and agree that the nature of my work prevents me from being relieved of all duties and requires me to remain on-duty during meal periods. I voluntarily agree to work on records as time worked, and that I will be paid for such time. I further understand that I will be given the opportunity to eat a meal while on duty. Finally, I understand that, by signing this on-duty meal period agreement, I will not be entitled to receive the one hour of pay provided by Labor Code section 226.7 as a penalty for situations when a meal period is not provided. I understand that I may revoke this agreement at any time by providing written notice in advance to my supervisor. As an option, I further understand that I may revoke this agreement by signing the revocation section below and returning this Agreement to my supervisor. I also understand that I may work on-duty meal periods after revoking this agreement by signing a new on-duty meal period agreement.
Employee Signature
Date
Date Format: MM slash DD slash YYYY
On-Duty Meal Period Agreement Revocation
I revoke my On-Duty Meal Period Agreement. I acknowledge that this revocation is not complete until I sign below and return this form to my supervisor. I also further understand that this revocation only applies to meal periods to which I otherwise would be entitled after I submit this signed revocation to my supervisor.
Employee Signature
Date
Date Format: MM slash DD slash YYYY