ࡱ> fjcde_ bjbjCC ')D\)D\c W$$))))))))8)<$*)&E*****,.,- yD{D{D{D{D{D{D$GJD)-,",--D))**D6222-F)*)*yD2-yD22AB*P 8)~X-FuBeDD<&EBXjK-jK BBjK)Bt--2-----DDl0P---&E----jK---------$> b(:  NOTICE OF INVOLUNTARILY LATE, MISSED, SHORTENED, OR Interrupted MEAL AND/OR REST PERIODS CALIFORNIA Use this form to notify your Kelly representative of missed, shortened, or interrupted meal or rest periods. After completing and signing this form, fax or provide it to your Kelly representative. Under California law, employees who work more than five hours per day must be provided with a duty-free and uninterrupted meal period of not less than 30 minutes. This meal period should begin no later than the end of the fifth hour of work. Employees who work more than 10 hours per day must be provided with a second, duty-free and uninterrupted meal period of not less than 30 minutes, unless waived. This meal period should begin no later than the end of the tenth hour of work. The aforementioned duty-free and uninterrupted meal periods of not less than 30 minutes may be unpaid. Employees are also authorized to receive a 10-minute paid rest period for every shift which lasts 3 hours up to 6 hours, a second 10-minute paid rest period for every shift which lasts more than 6 hours up to 10 hours, a third 10-minute paid rest period for a shift which lasts more than 10 hours up to 14 hours, and so on for every four hours, or major fraction thereof. This meal and rest period process applies at all times during your employment with Kelly while in California and while you are on assignment with any Kelly customer in California. I am notifying Kelly Services that I was not provided meal and/or rest periods in accordance with the above policy on the date(s) indicated below. Employee ID No. (Last four digits of Social Security number)Current Reference/Order No.Week Ending Sunday (If this is not a Sunday, check here () / /Customer NameName of Customer Supervisor/Manager DayDate (mm/dd/yyyy)Meal Period(s) Late, Missed, Shortened, or Interrupted (Enter up to one per day) Rest Period(s) Missed, Shortened, or Interrupted (Enter up to one per day)Reason Late, Missed, Shortened, or InterruptedMondayTuesdayWednesdayThursdayFridaySaturdaySundayTotal (Enter the total number of meal/rest period issues. The total may include no more than one meal and one rest period issue per workday).  Employee Name (Printed)Employee SignatureDate Signed / /Name of Kelly ReviewerDate Sent to Payroll / /     2016 Kelly Services, Inc. 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M5   `! TU* * *VW1XY9'1*  Z '[ ' ' PN  O' ' 'DE(71 PQN1 R<5* L 'S( C'1 1'DE/ 'F)1 G 1 HI' 1JK* 'LM7 *' 1 6( )1>  ?0 '@AB'' '#0 12345 167 '4 8 9: ';<$  = !"# $% & ''() '*+,-./               '@"Tahoma---  2 *0    0''@"Tahoma--- /2 D0 NOTICE OF INVOLUNTARILY          2 D0 LATE,   2 D40 MISSED  2 D0 ,   2 D0    0''  2 ]0 SHORTENED, OR     2 ]C 0 INTERRUPTED    2 ]0 MEAL    2 ]0   2 ]&0 AND/OR    2 ]0 REST    0'' 2 w#0 PERIOD    2 ww0 S   2 w0    2 w0    2 w0   2 w 0 CALIFORNIA    2 w%0    0''@"Tahoma---  2 O0   @Symbol---@"Arial---@"Tahoma------  2 0 ---  2 0  --- g2 =0 Use this form to notify your Kelly representative of missed,  22 0 shortened, or interrupted  )2 I0 meal or rest periods  2 0 .  2 0   ---  2 0   ---@"Tahoma------  2 0 ---  2 0  --- #2 0 After completing  2 0   2  0 and signing  2 <0   2 ? 0 this form,  2 p0 fax  2 0   2  0 or provide  2 0   2 0 it  2 0   2 0 to your  )2 0 Kelly representative  2 C0 .---  2 F0     2 O0   @"Tahoma--- 2 Cb0 Under California law, employees who work more than five hours per day must be provided with a duty         2 0 - 2  0 free and   2 Cc0 uninterrupted meal period of not less than 30 minutes. This meal period should begin no later than     2 0 the  2  0 end of the   2 Cf0 fifth hour of work. Employees who work more than 10 hours per day must be provided with a second, duty         2 0 - 2 0 free   2 Cq0 and uninterrupted meal period of not less than 30 minutes, unless waived. This meal period should begin no later       2 C 0 than the  2 y 0 end of the  L2 +0 tenth hour of work. The aforementioned duty    2 0 - R2 /0 free and uninterrupted meal periods of not less   2 0    82 C0 than 30 minutes may be unpaid.    2 0    O2 7C-0 Employees are also authorized to receive a 10   2 7Q0 - t2 7VF0 minute paid rest period for every shift which lasts 3 hours up to 6     %2 GC0 hours, a second 1  2 G0 0  2 G0 - 2 G^0 minute paid rest period for every shift which lasts more than 6 hours up to 10 hours, a third     2 WC0 10  2 WQ0 - 2 WVl0 minute paid rest period for a shift which lasts more than 10 hours up to 14 hours, and so on for every four     U2 gC10 hours, or major fraction thereof. This meal and r   j2 ga?0 est period process applies at all times during your employment      2 wCe0 with Kelly while in California and while you are on assignment with any Kelly customer in California.        2 w0   @"Tahoma- - -  I2 C)0 I am notifying Kelly Services that I was    V2 O20 not provided meal and/or rest periods in accordanc  2  0 e with the    2 C 0 above policy  2  0 on the date 2 0 (s)  2 0   #2 0 indicated below.   2 j0   <---@"Tahoma- - - --- "2 C<Employee ID No.---  2 < - - -  2 <(Last f +2 <our digits of Social  ---- - -  "2 C<Security number  2 <)---  2 <  ' - @ !9-   --- - @ !%-    42 %Current Reference/Order No.  2   '--- &2 Week Ending Sunday   2 k  - - - @Wingdings- - - - - -  C2 %(If this is not a Sunday, check here - - -   2 q - - -   2 )  2   @"Tahoma- - - - - -   2 S/ /---  2   '- @ !;- - @ !;- - @ !<-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !9;-  - @ !9-  - @ !9-  - @ !9-  <--- 2 C <Customer Name  2 <  '--- ,2 Name of Customer Super 2   visor/Manager  2 R  '- @ !;- - @ !<-  - @ !- - @ !p-  - @ !- - @ !p-  - @ !- - @ !-  - @ !-  - @ !%;-  - @ !;- - @ !;- - @ !Q<-  - @ !%-  - @ !- - @ !T-  - @ !%-  - @ !- - @ !-  @"Tahoma---  2 0C0   y5<@"Tahoma--- 2 \b<5yDay   2 \y<5y  'y5--- 2 V5yDate   2 V5y  ---@"Tahoma---------------  2 b5y(--- 2 b5yMM---  2 b5y/--- 2 b5yDD---  2 b5y/--- 2 b5yYYYY---  2 b5y)---  2 b5y  'y5--- 2 E 5yMeal Period  2 EK5y(s)  2 E[5y  2 E`5yLate,   2 T5yMissed  2 T0 5y, Shortened,    2 b5yor Interrupted  2 bo5y   2 bs5y  - - - - - -  2 o5y(Enter  2 o"5y  %2 o%5yup to one per day  2 o{5y)  2 o5y ---  2 o5y  'y5--- 2 E 5yRest Period  2 E5y(s)  2 E5y   2 T5yMissed  2 T 5y, Shortened,   2 b5yor  2 b 5yInterrupted  2 b5y  - - -  2 o5y(Enter  %2 o5yup to one per day  2 o5y)---  2 o 5y  'y5--- 2 E95yReason  2 Ej5yLate,  2 E5yMissed  2 E5y,   12 T(5yShortened, or Interrupted  2 T5y  '- @ !5;- - @ !5;- - @ !b5<-  - @ !5- - @ !]5-  - @ !5- - @ !5-  - @ !5- - @ !5-  - @ !5- - @ !5-  - @ !5- - @ !5-  - @ !C6;-  - @ !C6-  - @ !C6-  - @ !C6-  - @ !C6-  - @ !C6-  z<@"Tahoma--- 2 C<zMonday   2 m<z  'z---  2 z  'z---  2 Bz  'z---  2 z  'z---  2 zz  '- @ !y;- - @ !by<-  - @ !y- - @ !]y-  - @ !y- - @ !y-  - @ !y- - @ !y-  - @ !y- - @ !y-  - @ !y-  - @ !z;-  - @ !z-  - @ !z-  - @ !z-  - @ !z-  - @ !z-  <--- 2 C<Tuesday  2 q<  '---  2   '---  2 B  '---  2   '---  2 z  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-  <--- 2 C <Wednesday   2 <  '---  2   '---  2 B  '---  2   '---  2 z  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-  <--- 2 C<Thursday  2 u<  '---  2   '---  2 B  '---  2   '---  2 z  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-  <--- 2 C<Friday  2 b<  '---  2   '---  2 B  '---  2   '---  2 z  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-  <--- 2 C<Saturday  2 s<  '---  2   '---  2 B  '---  2   '---  2 z  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-  5<--- 2 -C<5Sunday  2 -k<5  '5---  2 ,5  '5---  2 -B5  '5---  2 +5  '5---  2 /z5  '- @ !;- - @ !b<-  - @ !- - @ !]-  - @ !- - @ !-  - @ !- - @ !-  - @ !- - @ !-  - @ !-  - @ !;-  - @ !-  - @ !-  - @ !-  - @ !-  - @ !-   - @ !K6<-  6<- - -  - @ !6C-   2 GC<6Total  2 Gc<6  - - -  - @ ! JC-   42 TC<6(Enter the total number of  2 T <6meal/rest   - @ ! WC-   2 aC <6period issues  2 a<6.  2 a<6  2 a <6The total  2 a<6may  2 a<6  2 a<6include   - @ ! dC-   %2 nC<6no more than one  2 n<6meal  2 n <6and one rest  - - -  - @ !qC-  - - -  52 {C<6period issue per workday). - - -   2 {<6  '6---  2 `6  '- @ !5;- - @ !b5<-  - @ !5- - @ !]5-  - @ !5- - @ !5-  - @ !5- - @ !5-  - @ !5- - @ !5-  - @ !5-  - @ !K6;-  - @ !;- - @ !;- - @ !<-  - @ !K6-  - @ !- - @ !-  - @ !K6-  - @ !- - @ !-  @"Tahoma---  2 C0   J<--- 2 C <JEmployee Name  2 <J  2  <J(Printed)  2 <J  'YK--- 2 RKYEmplo 2 n KYyee Signature  2 KY  'Z--- 2 ` ZDate Signed  2 Z  --- 2  Z/ /  2 Z  '- @ !;- - @ !;- - @ ! <-  - @ !I- - @ !J-  - @ !X- - @ !Y-  - @ !- - @ !-  - @ !*;-  - @ !*I-  - @ !*X-  - @ !*-   - @ !)<-  Y<--- - @ !C-   ,2 C<YName of Kelly Reviewer  2 <Y  ' - @ !)Z-  Z - @ !|`-  --- )2 `ZDate Sent to Payroll  2 Z   - @ !|`-  --- 2  Z/ /---  2 Z  '- @ !;- - @ ! <-  - @ !I- - @ !J-  - @ !X- - @ !Y-  - @ !-  - @ !(;-  - @ !;- - @ !;- - @ !<-  - @ !(X-  - @ !X- - @ !Y-  - @ !(-  - @ !- - @ !-  @"Tahoma---  2 C0   "SystemvX->(vvC>(--  00//..??@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ\]^_`abghiwlmnopqrstuvRoot Entry FP 8)~kData |1TableKWordDocument'SummaryInformation(aDocumentSummaryInformation8[MsoDataStore P 8)~P 8)~HWTZEKUUCCOIVA==2P 8)~P 8)~Item  Properties7mF0MTEUVWUT3Q==2 P 8)~P 8)~Item  EPropertiesIOUXZP0VPS==2P 8)~P 8)~Item OPropertiesSU  !"#$%&'()*+,-./012345689:;<=>?@ABCDFGHJKLMNPQRTUVWXZ This value indicates the number of saves or revisions. 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