The California Work Week Agreement form is a document that allows employees to request an alternate work schedule. This agreement can enable a flexible work arrangement, such as a 9/8/80 or 4/10/40 schedule, helping employees manage their time more effectively. To begin the process of filling out this form, please click the button below.
The California Work Week Agreement form is a crucial document for employees seeking to establish an alternate work schedule that deviates from the traditional Monday to Friday, 8-hour workday. This form outlines various work schedule options, including the 9/8/80 and 4/10/40 models, allowing employees to select a work arrangement that best fits their needs. Employees must provide essential information such as their name, division, position number, and the effective date of the proposed schedule. The agreement specifies the regular day off (RDO) and the corresponding work hours for each selected schedule. It is important to note that once an alternate work week schedule is approved, employees are expected to adhere to it permanently, with limited exceptions for situations like jury duty or military leave. Additionally, the form emphasizes compliance with the Fair Labor Standards Act (FLSA) regarding overtime calculations and outlines the consequences of failing to maintain the required leave credits. Both the employee and the department must sign the agreement, ensuring that all parties understand the terms and conditions associated with the alternate work schedule. This document is not just a formality; it plays a significant role in managing work-life balance while adhering to labor laws.
Alternate Work Week Agreement
California Department of Human Resources
State of California
1. Employee Information
Employee Name
Division
2. Alternate Work Week Schedule
Position #
Today's Date
Effective 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.):
•Work schedule for 9-hour day (i.e. 7:00 a.m. - 5:00 p.m.):
4/10/40 Work Schedule: • Regular Day Off (RDO): (Monday - Friday)
•Work schedule for 10-hour day (i.e. 6:00 a.m. - 5:00 p.m.):
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
Supervisor Signature
Personnel Officer Signature
CalHR 183
Page 1 of 1
(rev 04/2016)
Completing the California Work Week Agreement form requires careful attention to detail. After filling out the necessary sections, the form will need to be signed by both the employee and the appropriate supervisors. This ensures that all parties are in agreement regarding the alternate work schedule.
The California Work Week Agreement form allows employees to request an alternate work schedule, such as a 9/8/80 or 4/10/40 work week. This form is part of the California Department of Human Resources' effort to provide flexible work arrangements while ensuring compliance with labor laws.
Employees can choose from the following schedules:
For employees on a 9/8/80 schedule, the work week for overtime purposes begins mid-day on their regular day off. This adjustment is essential for calculating the 40-hour work week and any overtime pay under the Fair Labor Standards Act (FLSA). Employees should be aware that maintaining an alternate schedule requires compliance with these regulations.
Yes, either the employee or the Department can cancel the agreement at any time. Changes to the schedule are not permitted unless the employee is on jury duty, military leave, or non-industrial disability leave. In such cases, the employee must revert to a standard Monday-Friday, 8-hour day work schedule.
If an employee fails to adhere to the procedures outlined in the CalHR Alternate Work Week Policy, such as not maintaining a minimum of 40 hours of leave credits, they will be removed from their alternate work schedule. This removal will result in a return to a regular Monday-Friday, 5/8/40 work week.
Neglecting to fill in personal information: Many individuals forget to provide their name, division, or position number. This basic information is essential for processing the agreement.
Not specifying the desired work schedule: Some people fail to check the appropriate box for their alternate work week schedule. This oversight can lead to confusion about the intended work hours.
Leaving out the Regular Day Off (RDO): It’s important to indicate which day will be your RDO. Omitting this detail can complicate the scheduling process.
Failing to provide accurate work hours: When listing work hours, individuals sometimes provide incorrect times or formats. This can create misunderstandings about the actual hours worked.
Ignoring the requirements for overtime calculations: Some employees do not understand that their work week for overtime purposes starts mid-day on their RDO. This misunderstanding can lead to incorrect overtime pay.
Not acknowledging the permanence of the schedule: Employees may overlook the fact that they are agreeing to maintain the alternate work schedule permanently unless specific circumstances arise.
Skipping signatures: Failing to obtain necessary signatures from the Division Chief, Supervisor, or Personnel Officer can delay the approval process.
Overlooking the policy on leave credits: Many individuals do not pay attention to the requirement of maintaining at least 40 hours of leave credits. Ignoring this can lead to removal from the alternate work schedule.
The California Work Week Agreement form is essential for employees who wish to adopt an alternate work schedule. However, several other documents often accompany this form to ensure clarity and compliance with state regulations. Below are some of the key documents that may be used in conjunction with the California Work Week Agreement.
These documents work together to support the implementation of alternate work schedules while ensuring that both employee rights and employer responsibilities are upheld. Proper understanding and completion of these forms can lead to a smoother transition into an alternate work week arrangement.
The California Flexible Work Schedule Agreement is similar to the California Work Week Agreement in that both documents allow employees to modify their standard work hours. This agreement provides employees with the option to choose a flexible schedule, which can enhance work-life balance. Like the Work Week Agreement, it requires approval from management and outlines the responsibilities of both the employee and employer. Employees must adhere to the agreed-upon schedule to ensure compliance with labor laws, and any changes must be formally documented.
The California Telecommuting Agreement shares similarities with the California Work Week Agreement as both documents aim to provide employees with alternative work arrangements. The Telecommuting Agreement allows employees to work from home or another location, which can lead to increased productivity and job satisfaction. Both agreements require mutual consent between the employee and employer and include stipulations regarding work hours, communication expectations, and performance evaluations. Adherence to these agreements is crucial for maintaining a productive work environment.
The California Meal and Rest Break Policy document is also comparable to the California Work Week Agreement, as both address employee rights regarding work schedules. This policy outlines the requirements for meal and rest breaks during shifts, ensuring that employees receive adequate time to recharge. Like the Work Week Agreement, it emphasizes the importance of compliance with labor regulations. Employees must be aware of their rights and the procedures for reporting any violations related to breaks or work hours.
The California Overtime Agreement is similar to the California Work Week Agreement in that both documents deal with employee compensation related to work hours. The Overtime Agreement specifically outlines the conditions under which employees are eligible for overtime pay, ensuring they are compensated fairly for hours worked beyond their standard schedule. Both agreements require employees to acknowledge their understanding of the terms and conditions, and adherence to these agreements is essential for proper payroll processing and compliance with labor laws.
The California Leave of Absence Policy is akin to the California Work Week Agreement as both address employee rights and responsibilities regarding their work schedules. This policy outlines the procedures for requesting leave, whether for personal reasons, medical issues, or other circumstances. Similar to the Work Week Agreement, it emphasizes the need for proper documentation and approval from management. Understanding this policy helps employees navigate their rights while maintaining compliance with workplace regulations.
When filling out the California Work Week Agreement form, it is essential to follow certain guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid during this process.
Misconception 1: Employees can change their alternate work week schedule at any time.
This is incorrect. Once an employee agrees to an alternate work week schedule, they must maintain it permanently unless specific circumstances arise, such as jury duty or military leave. Changes are not permitted under normal conditions.
Misconception 2: The alternate work week agreement guarantees overtime pay for all hours worked over 40.
This is misleading. While the agreement outlines how overtime is calculated, it does not automatically guarantee overtime pay. Overtime eligibility is determined based on the Fair Labor Standards Act (FLSA) and the employee's specific work hours.
Misconception 3: Employees can take sick leave without affecting their alternate work week schedule.
This is false. The agreement requires employees to maintain a minimum of 40 hours of leave credits or other paid leave, excluding sick leave. If an employee does not meet this requirement, they may be removed from their alternate work schedule.
Misconception 4: The agreement is permanent and cannot be canceled.
This is not true. Either the employee or the Department can cancel the agreement at any time. It is important for employees to understand that they have the option to revert back to a standard work schedule if needed.
Understanding the California Work Week Agreement form is essential for employees considering an alternate work schedule. Here are key takeaways to keep in mind:
By keeping these points in mind, you can navigate the process of filling out and using the California Work Week Agreement form more effectively.