"Employee'(S) Request for Waiver to a "day of Rest"" - New Hampshire

Employee'(S) Request for Waiver to a "day of Rest" is a legal document that was released by the New Hampshire Department of Labor - a government authority operating within New Hampshire.

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Phone:
State of New Hampshire
603.271.0127
Email:
Department of Labor
Inspectiondiv@dol.nh.gov
EMPLOYEE‘(S) REQUEST FOR
WAIVER TO A “DAY OF REST”
I / we the undersigned, hereby request that the NH Department of Labor allow
me/us to waive my/our right to a “day of rest” as required by RSA 275:32 and RSA
275:33. We understand that should we work on a Sunday, we are entitled to a
day of rest within the next six consecutive days. We have not been forced or
coerced by our employer or any representative of the employer to submit this
request. It is completely voluntary on my/our part. We understand that we are
free to revoke this request and be granted the required days off at any time.
We are employed at the following business:
Employer Name _____________________________________________________
Street Address
_____________________________________________________________
City/ Town ____________________________________________________, NH
Employee’s name
Employee’s Signature
___________________________
________________________________
Print
Signature
___________________________
________________________________
Print
Signature
___________________________
________________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
Phone:
State of New Hampshire
603.271.0127
Email:
Department of Labor
Inspectiondiv@dol.nh.gov
EMPLOYEE‘(S) REQUEST FOR
WAIVER TO A “DAY OF REST”
I / we the undersigned, hereby request that the NH Department of Labor allow
me/us to waive my/our right to a “day of rest” as required by RSA 275:32 and RSA
275:33. We understand that should we work on a Sunday, we are entitled to a
day of rest within the next six consecutive days. We have not been forced or
coerced by our employer or any representative of the employer to submit this
request. It is completely voluntary on my/our part. We understand that we are
free to revoke this request and be granted the required days off at any time.
We are employed at the following business:
Employer Name _____________________________________________________
Street Address
_____________________________________________________________
City/ Town ____________________________________________________, NH
Employee’s name
Employee’s Signature
___________________________
________________________________
Print
Signature
___________________________
________________________________
Print
Signature
___________________________
________________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print
________________________________
___________________________
Signature
Print