[Company Name] provides a reasonable amount of break time to accommodate an employee's need to express breast milk for the employee's infant child. The company will make a reasonable effort to provide the employee with the use of a room or other location in close proximity to the employee's work area for the employee to express milk in private. Such space will meet the requirements of the California Labor Code including a surface to place a breast pump and personal items, a place to sit, access to electricity, a sink with running water, and a refrigerator for storing breast milk.
An employee may request an accommodation for lactation breaks by submitting a lactation accommodation request form to the department supervisor.
The department supervisor must approve or deny the request in writing. The completed request form must be returned to the employee and a copy sent to the human resources department.
The requested break time should, if possible, be taken concurrently with other scheduled break periods. Nonexempt employees must clock out for any lactation breaks that do not run concurrently with normally scheduled rest periods. Any such breaks will be unpaid.
The company reserves the right to deny, in writing, an employee's request for a lactation break if the additional break time will seriously disrupt operations.
Employees have the right to file a complaint with the labor commissioner for any violation of rights provided under Chapter 3.8 of the California Labor Code regarding lactation accommodations.