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SPLIT SHIFT Provider\'s Name:Write \”B L D S\” on the appropriate time line for each child. For the Month of:ONLY for those meals served in shifts B Breakfast D Dinner L Lunch S Snacks7:006:306:005:305:004:304:003:303:002:302:001:301:0012:3012:0011:3011:0010:3010:009:309:008:308:007:307:006:30CHILDREN\'S
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How to fill out split shift form

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How to fill out split shift form

01
Obtain the split shift form from your employer or HR department.
02
Fill out your full name, employee ID number, and contact information at the top of the form.
03
Indicate the date of the split shift and the start and end times of each shift.
04
Calculate and record the total hours worked during the split shift.
05
Sign and date the form to certify that the information is accurate.
06
Submit the completed form to your employer or HR department for processing.

Who needs split shift form?

01
Employees who work non-traditional or irregular shifts
02
Employers who have employees working split shifts as part of their regular schedule
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A split shift form is a document used by employers to report hours worked by employees who have split shifts, where an employee's work hours are divided into two or more segments with a break in between.
Employers who have employees working split shifts are required to file the split shift form to ensure accurate reporting of hours and calculation of wages.
To fill out a split shift form, employers need to provide information such as the employee's name, the split shift work hours, any breaks taken, and detailed records of the hours worked and pay.
The purpose of the split shift form is to document and accurately report the working hours of employees with non-conventional work schedules, ensuring compliance with labor laws and regulations.
The form must report the employee's name, the date of the shift, start and end times for each segment of the shift, total hours worked, breaks taken, and any other relevant details.
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