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ODRISA Complaint Form

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ONE DAY REST IN SEVEN COMPLAINT FORM 

The One Day Rest in Seven Act (ODRISA) requires employers to:

  • Provide employees a minimum of 24 hours of rest within every consecutive 7-day period
  • Provide a meal period of at least 20 minutes for every 7.5-hour shift beginning no later than 5 hours after the start of the shift
  • Provide an additional 20-minute meal period for every additional 4.5 continuous hours worked
I. EMPLOYER INFORMATION
II. COMPLAINANT INFORMATION
Date/Time Period of the alleged violation

 

III. COMPLAINT DESCRIPTION
    IV. CERTIFICATION & SIGNATURE : 

    BY ACCEPTING AND SUBMITTING THIS FORM, THE COMPLAINANT AFFIRMS AND CERTIFIES THAT ALL INFORMATION PROVIDED AND THE STATEMENTS MADE HERIN ARE TRUE, CORRECT, AND COMPLETE.