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DISTRICT 2 PUBBLIC HEALTH
FAIR LABOR
STANDARDS ACT
EMPLOYEE NOTIFICATION:
NAME___________________________________________________
This is to advise you of
your classification under the Fair Labor Standards Act, as amended.
Employees fall into two
categories under the Fair Labor Standards Act.
Your category is checked below:
Non-exempt
(
)
Exempt
( )
Your work week has been
established as 5:00 p.m. Friday through 5:00 p.m. the following Friday.
You are not to work in excess of 40 hours during any given work week
unless specifically authorized to do so, in advance, by your supervisor.
Your work hours are outlined in appointment letter.
Lunch is one hour and is
not counted as work time. You
cannot work through lunch to leave early or come in late.
It is your responsibility
to keep your time accurately.
Failure to keep your time accurately, unauthorized overtime – compensatory time,
making false statements of time worked, signing in or out for another employee
will result in disciplinary action which may include suspension and/or
dismissal.
_________________________________________________________________________ Employee Signature
Date Signed
FLSA.EMP.NOT.
02/05
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