Meal & Rest Break Attestation

Meal & Rest Break Attestation

By my signature, I certify that I was permitted to take all of the Meal & Rest 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 in the form below.
Your Name*

First NameLast Name
Email*
Email
Phone Number*
Please enter your phone number.
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 Meal Break Time In / Time Out*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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: