Loading
Form preview picture

Get CA CalHR 183 (Formerly DPA 183) 2016

Alternate Work Week Agreement California Department of Human Resources State of California 1. Employee Information Employee Name Position Division Effective Date Today s Date Please indicate which Alternate Work Week Schedule you are requesting check one. 9/8/80 Work Schedule Regular Day Off RDO Monday - Friday Date of first RDO Work schedule for 8-hour day i*e* 8 00 a*m* - 5 00 p*m* 4/10/40 Work Schedule Regular Day Off RDO Monday - Friday Other Specify schedule and work hours If you are on a 9/8/80 Alternate Work Week Schedule your work week for overtime purposes will start mid-day on your regular day off RDO. This change is being made for the purposes of computing your 40-hour work week and any overtime compensation due to you under the provisions of the Fair Labor Standards Act FLSA. In signing this agreement and in accordance with the provisions of the FLSA you agree to permanently maintain your agreed upon alternate work week schedule. Periodic changes will not be permitted unless you are placed on jury duty military leave or non-industrial disability leave at which time you must return to a Monday-Friday 8 hour day work schedule. This agreement may be cancelled at any time by either you or the Department. Failure to comply with the procedures as outlined in the CalHR Alternate Work Week Policy including maintaining a minimum of 40 hours of leave credits or other paid leave other than sick leave will cause you to be removed from your alternate work schedule and return you to a normal Monday - Friday 5/8/40 work week. 3. Approval I have read and understand the above terms and conditions of the alternate work week schedule and understand that this agreement is made in accordance with the provisions of the FLSA. I also acknowledge receipt of CalHR s policy on Alternate Work Week Schedules and understand a copy of this agreement will be placed in my official personnel file for audit purposes. I further understand that any excess hours accrued as a result of this schedule will be compensated as straight time when paid by lump sum and any deficit hours will be charged to vacation holiday credit excess hours personal leave annual leave CTO or approved dock. Employee Signature Division Chief Signature CalHR 183 Supervisor Signature Personnel Officer Signature Page 1 of 1 rev 04/2016. 9/8/80 Work Schedule Regular Day Off RDO Monday - Friday Date of first RDO Work schedule for 8-hour day i*e* 8 00 a*m* - 5 00 p*m* 4/10/40 Work Schedule Regular Day Off RDO Monday - Friday Other Specify schedule and work hours If you are on a 9/8/80 Alternate Work Week Schedule your work week for overtime purposes will start mid-day on your regular day off RDO. This change is being made for the purposes of computing your 40-hour work week and any overtime compensation due to you under the provisions of the Fair Labor Standards Act FLSA. This change is being made for the purposes of computing your 40-hour work week and any overtime compensation due to you under the provisions of the Fair Labor Standards Act FLSA. In signing this agreement and in accordance with the provisions of the FLSA you agree to permanently maintain your agreed upon alternate work week schedule. .

How It Works

183 agreement rating
4.8Satisfied
185 votes

How to fill out and sign california department of labor alternate work schedule agreement template online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Getting a legal specialist, creating a scheduled appointment and going to the workplace for a private conference makes completing a CA CalHR 183 (Formerly DPA 183) from beginning to end stressful. US Legal Forms lets you rapidly make legally-compliant documents according to pre-constructed online templates.

Perform your docs in minutes using our simple step-by-step guide:

  1. Find the CA CalHR 183 (Formerly DPA 183) you need.
  2. Open it up with cloud-based editor and start adjusting.
  3. Fill in the blank fields; involved parties names, addresses and phone numbers etc.
  4. Change the blanks with unique fillable areas.
  5. Add the particular date and place your electronic signature.
  6. Click Done after double-checking all the data.
  7. Save the ready-produced record to your device or print it out as a hard copy.

Quickly create a CA CalHR 183 (Formerly DPA 183) without having to involve specialists. There are already more than 3 million people benefiting from our unique collection of legal documents. Join us today and gain access to the #1 collection of web blanks. Test it yourself!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing california alternate work schedule agreement

Go paperless, complete and adjust your Form online utilizing expert-built templates. This video guide will give you all the knowledge and know-how you need to get started now.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Norton logo picture

    Norton Secured

    The highest level of recognition among eCommerce customers.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.