Meal Break Attestation

Meal Break Attestation

By my signature, I certify that I was permitted to take all of the Meal Break periods to which I was entitled during my shift today in accordance with the Kinetic Events break policy or have identified that there was an issue with my break in the form below.
Your Name*

First NameLast Name
Email*
Email
Location or name of event*
Event location
Market (nearest city)*
Date of your shift:*

MonthDayYear
Only change if filling out for a different day's shift.
30 Minute Break Time In / Time Out*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Please choose*

I received my meal/rest break(s) on time.I did not receive my meal/rest break(s) or there was an issue with my meal/rest break, please contact me.
Reason
Signature*

Clear
Should be Empty: