new hire packet check-off list (to be completed by manager) hire packet/acknowledgement... ·...

New Hire Packet ChecklistJune 2015

New Hire Packet Check-off List(To be completed by manager)

Employee Name: Store #:

Manager: Check-off each box under the Manager Column to indicate items included inyour submittal are complete. The HR staff will confirm completion by checking boxesunder the HR column as appropriate.

Manager Form Name HRPersonnel Action FormUniform Receipt AcknowledgementW-4 FormI-9 Form along with copy of document(s)Notice to Employee (Labor Code Section 2810.5)Employment AgreementAcknowledgement of Cash Handling PolicyVoluntary Meal Break WaiverAcknowledgement of Return To Work ProgramCompany Policy Against HarassmentSafety Training Certification & AcknowledgementEmployment ApplicationMinor Employee’s Work Permit (original copy)Copy of Food Handler Card

Manager’s Signature: Date:

PERSONAL INFORMATION EMPLOYEE CODE: Last Name: First Name: Middle: Nickname: Address:

Street Apt # City State Zip Social Security # Date of Birth: / / Gender ☐ F ☐ M ETHNICITY (FOR EEOC REPORTING PURPOSES) Home Phone Cell Phone Email ☐ American Indian or ☐ Hispanic or Latino ☐ Asian Emergency Contact Name Phone ☐ Alaska Native ☐ Native Hawaiian or

Other Pacific Islander

☐ White Address: ☐ Black/African American ☐ Two or More Races

LEAVE OF ABSENCE Begin Date: / / Anticipated Return Date: / / ☐ Medical ☐ FMLA ☐ Maternity/Paternity ☐ Military ☐ Personal ☐ Workers’ Comp ☐ Other: No. of Vacation Days/Hours Vacation Start Date: / / Last Date of Vacation: / / No. of Sick Days/Hours Sick Start Date: / / Last Sick Date: / /

VACATION / SICK TIME No. of Vacation Days/Hours Vacation Start Date: / /

Last Date of Vacation: / / No. of Sick Days/Hours Sick Start Date: / / Last Sick Date: / / JOB TITLE / PAY New Job title: Previous Job Title: New Wage: ☐ per hour ☐ per year Previous Wage: ☐ per hour ☐ per year % Increase: LOCATION Transfer from: to: Store/Department Name Store /Department Code Store/Department Name Store/Department Code

TERMINATION

COMMENTS:

SIGNATURES Employee Signature: Date: / /

HUMAN RESOURCES APPROVAL FIRST LEVEL APPROVAL

Signature: Date: / / SECOND LEVEL APPROVAL Signature

/ / Signature: Date: / / Date

ACTION (Check All That Apply) EFFECTIVE DATE: / / ☐ New Hire ☐ Address/Phone ☐ Rate Change ☐ Demotion ☐ Leave of Absence ☐ Sick ☐ Other: ☐ Re-hire ☐ Name Change ☐ Transfer ☐ Promotion ☐ Return from Leave ☐ Vacation ☐ Termination

Print Name: Title:

Print Name: Title:

062014

☐ Voluntary: ☐ Involuntary: Choose an item. Last Date Worked: / / Termination Date: / /

PERSONNEL ACTION FORM

INSTRUCTIONS FOR COMPLETING PERSONNEL ACTION FORM The Personnel Action Form is used for all personnel actions. It is used for new hire, rehire, leave of absence, termination, and to request and approve changes of status include changes in pay rate, job title, job assignment and employee’s personal information, etc. Please complete all sections listed for each type of personnel/payroll transactions.

ACTION PERSONNEL / PAYROLL ACTION COMPLETE ALL SECTIONS LISTED

New Hire / Re-Hire Action, Effective Date, Personal Information, Ethnicity, Job Title/Pay, Location, Signatures

Address, Phone / Name Change Action, Effective Date, Employee Code, Personal Information (Name, Address), Signatures *** For Name Change, employee must submit a copy of social security card which reflects the new name.

Rate Change / Demotion / Promotion Action, Effective Date, Employee Code, Personal Information (Name), Job Title / Pay, Signatures

Transfer Action, Effective Date, Employee Code, Personal Information (Name), Location, Signatures

Leave of Absence / Return from Leave Action, Effective Date, Employee Code, Personal Information (Name), Leave of Absence, Signatures

Sick / Vacation Action, Effective Date, Employee Code, Personal Information (Name), Vacation / Sick Time, Signatures

Other Action, Effective Date, Employee Code, Personal Information (Name), Comments, Signatures

Termination Action, Effective Date, Employee Code, Personal Information (Name), Termination (Codes Listed Below), Signatures

VOUNTARY TERMINATION INVOLUNTARY TERMINATION

Termination Code Description Termination Code Description

V1 DECEASED Deceased I1 CASH Cash Handling Violation

V2 DOMESTIC Domestic Responsibilities I2 COMPLAINT Customer Complaints

V3 FRFLOA Failed to Return from LOA I3 ATTENDANCE Excessive Absence/Tardiness

V4 FWSS Failed to Work Scheduled Shift I4 DOCUMENT Falsification of Company Documents

V5 INSHRS Insufficient Hours I5 EVERIFY E-Verify Non-Conformation

V6 JOBDISAT Job Dissatisfaction I6 INSUBORD Insubordination

V7 JOBRAL Job Refusal I7 RELATION Poor Crew Member Relations

V8 MOVED Left Area/Moved I8 THEFT Dishonesty/Theft

V9 MEDRNS Medical Reasons I9 UNPERFORM Unsatisfactory Performance

V10 NOREASON No Reason Given I10 VIOLATION Rule Violation

V11 PERSONAL Personal Reasons I11 WKPERMIT No Work Permit

V12 INVESTIGATN Quit During Investigation I12 WKSTATUS Invalid/Expired Work Status

V13 NONOTICE Quit- No Notice

V14 RETIRED Retired

V15 SCHOOL School

V16 TEMPEMP Summer or Temporary Employment

V17 OPPORT To Accept Better Opportunity

V18 TRAPROBL Transportation Problems

062014

PERSONNEL ACTION FORM

April 2011

UNIFORM RECEIPT ACKNOWLEDGEMENT

Employee Name: Store Code:

Item Quantity Employee Initials

Apron

Cap

Name Tag

Shirt

Shoes

Visor

By signing below, I acknowledge that I have received all of the items initialed above. Iunderstand that that the Company-issued uniforms are for my use only when working atYoshinoya. I also understand that I am responsible for keeping my uniforms in clean andgood condition (normal wear and tear permissible). If my uniform needs to be replaceddue to excessive wear, I can obtain a new uniform at no charge to me. Furthermore, Iagree to return all Company-issued uniforms, except for the shoes, when I leave theCompany.

Employee’s Signature: Date:

Employment Eligibility Verification

Department of Homeland SecurityU.S. Citizenship and Immigration Services

USCISForm I-9

OMB No. 1615-0047Expires 03/31/2016

START HERE. Read instructions carefully before completing this form. The instructions must be available during completion of this form.

Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no laterthan the first day of employment, but not before accepting a job offer.)

Address (Street Number and Name)

E-mail Address Telephone NumberDate of Birth (mm/dd/yyyy)

Other Names Used (if any)

U.S. Social Security Number

Middle Initial

Apt. Number City or Town State Zip Code

I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents inconnection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following):

Signature of Employee: Date (mm/dd/yyyy):

Date (mm/dd/yyyy):Signature of Preparer or Translator:

Address (Street Number and Name) City or Town Zip CodeState

A lawful permanent resident (Alien Registration Number/USCIS Number):

A citizen of the United States

A noncitizen national of the United States (See instructions)

1. Alien Registration Number/USCIS Number:

For aliens authorized to work, provide your Alien Registration Number/USCIS Number OR Form I-94 Admission Number:

If you obtained your admission number from CBP in connection with your arrival in the UnitedStates, include the following:

2. Form I-94 Admission Number:

Country of Issuance:

Foreign Passport Number:

(See instructions)

Some aliens may write "N/A" on the Foreign Passport Number and Country of Issuance fields. (See instructions)

First Name (Given Name)Last Name (Family Name)

Page 7 of 9Form I-9 03/08/13 N

Employer Completes Next Page

I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge theinformation is true and correct.

Preparer and/or Translator Certification (To be completed and signed if Section 1 is prepared by a person other than theemployee.)

OR

First Name (Given Name)Last Name (Family Name)

3-D BarcodeDo Not Write in This Space

of 9Form I-9 03/08/13 N

Employee Last Name, First Name and Middle Initial from Section 1:

Section 2. Employer or Authorized Representative Review and Verification(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. Youmust physically examine one document from List A OR examine a combination of one document from List B and one document from List C as listed onthe "Lists of Acceptable Documents" on the next page of this form. For each document you review, record the following information: document title,issuing authority, document number, and expiration date, if any.)

CertificationI attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee, (2) theabove-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge theemployee is authorized to work in the United States.

The employee's first day of employment (mm/dd/yyyy): (See instructions for exemptions.)

Date (mm/dd/yyyy)Signature of Employer or Authorized Representative Title of Employer or Authorized Representative

Employer's Business or Organization Address (Street Number and Name)

Last Name (Family Name) Employer's Business or Organization NameFirst Name (Given Name)

City or Town Zip CodeState

Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)A. New Name (if applicable) B. Date of Rehire (if applicable) (mm/dd/yyyy):

Document Title: Document Number:

Signature of Employer or Authorized Representative: Date (mm/dd/yyyy):

Middle InitialFirst Name (Given Name)Last Name (Family Name)

Issuing Authority: Issuing Authority:

Document Number:

Document Title:Document Title:

Document Number:

Issuing Authority:

List A OR ANDList B List C

Document Number:

Document Title:

Expiration Date (if any)(mm/dd/yyyy):

Document Title:

Issuing Authority:


Document Title:

Issuing Authority:


Expiration Date (if any)(mm/dd/yyyy): Expiration Date (if any)(mm/dd/yyyy):

Identity and Employment Authorization Identity Employment Authorization

Document Number:

Document Number:

Print Name of Employer or Authorized Representative:

3-D BarcodeDo Not Write in This Space

of 9Form I-9 03/08/13 N

LISTS OF ACCEPTABLE DOCUMENTS

Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274).

For persons under age 18 who areunable to present a document

listed above:

LIST A LIST B LIST C

2. Permanent Resident Card or AlienRegistration Receipt Card (Form I-551)

8. Employment authorizationdocument issued by theDepartment of Homeland Security

1. Driver's license or ID card issued by aState or outlying possession of theUnited States provided it contains aphotograph or information such asname, date of birth, gender, height, eyecolor, and address

1. A Social Security Account Numbercard, unless the card

9. Driver's license issued by a Canadiangovernment authority

1. U.S. Passport or U.S. Passport Card

2. Certification of Birth Abroad issuedby the Department of State (FormFS-545)

3. Foreign passport that contains atemporary I-551 stamp or temporaryI-551 printed notation on a machine-readable immigrant visa

4. Employment Authorization Documentthat contains a photograph (FormI-766)

3. Certification of Report of Birthissued by the Department of State(Form DS-1350)

3. School ID card with a photograph5. For a nonimmigrant alien authorized

to work for a specific employerbecause of his or her status:

6. Military dependent's ID card4. Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal

7. U.S. Coast Guard Merchant MarinerCard

5. Native American tribal document8. Native American tribal document

7. Identification Card for Use ofResident Citizen in the UnitedStates (Form I-179)

10. School record or report card

11. Clinic, doctor, or hospital record

12. Day-care or nursery school record

2. ID card issued by federal, state or localgovernment agencies or entities,provided it contains a photograph orinformation such as name, date of birth,gender, height, eye color, and address

4. Voter's registration card

5. U.S. Military card or draft record

Documents that EstablishBoth Identity and

Employment Authorization

Documents that EstablishIdentity

Documents that EstablishEmployment Authorization

OR AND

All documents must be UNEXPIRED

6. Passport from the Federated States ofMicronesia (FSM) or the Republic ofthe Marshall Islands (RMI) with FormI-94 or Form I-94A indicatingnonimmigrant admission under theCompact of Free Association Betweenthe United States and the FSM or RMI

6. U.S. Citizen ID Card (Form I-197)

b. Form I-94 or Form I-94A that hasthe following:(1) The same name as the passport;

and(2) An endorsement of the alien's

nonimmigrant status as long asthat period of endorsement hasnot yet expired and theproposed employment is not inconflict with any restrictions orlimitations identified on the form.

a. Foreign passport; and

Refer to Section 2 of the instructions, titled "Employer or Authorized Representative Reviewand Verification," for more information about acceptable receipts.

Employees may present one selection from List Aor a combination of one selection from List B and one selection from List C.

DLSE-NTE (rev 11/2014)

NOTICE TO EMPLOYEE Labor Code section 2810.5

EMPLOYEE Employee Name:

Start Date:

EMPLOYER Legal Name of Hiring Employer:

Is hiring employer a staffing agency/business (e.g., Temporary Services Agency; Employee Leasing

Company; or Professional Employer Organization [PEO])? □ Yes □ No

Other Names Hiring Employer is "doing business as" (if applicable):

Physical Address of Hiring Employer’s Main Office:

Hiring Employer’s Mailing Address (if different than above):

Hiring Employer’s Telephone Number:

If the hiring employer is a staffing agency/business (above box checked "Yes"), the following is the other entity

for whom this employee will perform work:

Name:

Physical Address of Main Office:

Mailing Address:

Telephone Number:

WAGE INFORMATION Rate(s) of Pay: Overtime Rate(s) of Pay:

Rate by (check box): □ Hour □ Shift □ Day □ Week □ Salary □ Piece rate □ Commission

□ Other (provide specifics):

Does a written agreement exist providing the rate(s) of pay? (check box) □ Yes □ No

If yes, are all rate(s) of pay and bases thereof contained in that written agreement? □ Yes □ No

Allowances, if any, claimed as part of minimum wage (including meal or lodging allowances):

(If the employee has signed the acknowledgment of receipt below, it does not constitute a “voluntary written agreement” as required under the law between the employer and employee in order to credit any meals or lodging against the minimum wage. Any such voluntary written agreement must be evidenced by a separate document.)

Regular Payday:

DLSE-NTE (rev 11/2014)

WORKER’S COMPENSATION

Insurance Carrier’s Name: _________________________________________________________________ Address: ______________________________________________________________________________ Telephone Number: _____________________________________________________________________ Policy No.: ____________________________ □ Self-Insured (Labor Code 3700) and Certificate Number for Consent to Self-Insure: _______________

PAID SICK LEAVE

Unless exempt, the employee identified on this notice is entitled to minimum requirements for paid sick leave under state law which provides that an employee: a. May accrue paid sick leave and may request and use up to 3 days or 24 hours of accrued paid sick leave per year; b. May not be terminated or retaliated against for using or requesting the use of accrued paid sick leave; and c. Has the right to file a complaint against an employer who retaliates or discriminates against an employee for 1. requesting or using accrued sick days; 2. attempting to exercise the right to use accrued paid sick days; 3. filing a complaint or alleging a violation of Article 1.5 section 245 et seq. of the California Labor Code; 4. cooperating in an investigation or prosecution of an alleged violation of this Article or opposing any policy or practice or act that is prohibited by Article 1.5 section 245 et seq. of the California Labor Code. The following applies to the employee identified on this notice: (Check one box) □ 1. Accrues paid sick leave only pursuant to the minimum requirements stated in Labor Code §245 et seq. with no other employer policy providing additional or different terms for accrual and use of paid sick leave. □ 2. Accrues paid sick leave pursuant to the employer’s policy which satisfies or exceeds the accrual, carryover, and use requirements of Labor Code §246. □ 3. Employer provides no less than 24 hours (or 3 days) of paid sick leave at the beginning of each 12-month period. □ 4. The employee is exempt from paid sick leave protection by Labor Code §245.5. (State exemption and specific subsection for exemption):_________________________________________________________________

ACKNOWLEDGEMENT OF RECEIPT (Optional)

_______________________________________ ______________________________________ (PRINT NAME of Employer representative) (PRINT NAME of Employee) _______________________________________ ______________________________________ (SIGNATURE of Employer Representative) (SIGNATURE of Employee) _______________________________________ ______________________________________ (Date) (Date) The employee’s signature on this notice merely constitutes acknowledgement of receipt. Labor Code section 2810.5(b) requires that the employer notify you in writing of any changes to the information set forth in this Notice within seven calendar days after the time of the changes, unless one of the following applies: (a) All changes are reflected on a timely wage statement furnished in accordance with Labor Code section 226; (b) Notice of all changes is provided in another writing required by law within seven days of the changes.

Employment Agreement

1.Nature of Employment: I acknowledge that I am employed as an “At-Will” employee; either you or theCompany can terminate your employment at any time, with or without prior notice or cause. This statement is theentirety of your agreement with the Company on the subject of the duration of your employment; norepresentations have been made by anyone at the Company inconsistent with your At-Will employment status. Theat-will status of your employment may only be altered by a written agreement signed by you and the CEO. While soemployed, you will not perform services for the Company as an independent contractor or in any other capacitywithout the written consent of the VP of Human Resources or CEO.

2.Handbook Acknowledgement: I acknowledge that I have received a copy of the Company’s Handbookand understand that it contains important information on the Company’s general policies. I acknowledge that I amexpected to read, understand, and adhere to company policies and will familiarize myself with the material in theHandbook. I understand that, except for the “Employment at Will” provision, the policies stated in this Handbookare general guidelines and that the Company may change, rescind or add to any policies, benefits or practicesdescribed in the Handbook, in its sole and absolute discretion, with or without prior notice.

3.Getting Paid and Taking Breaks: I acknowledge that I am not to perform any work “off the clock,”without getting paid, and that I am responsible for clocking in and clocking out. I further acknowledge that Iunderstand the company’s policy regarding taking rest and meal breaks as required by California law. If I am deniedan opportunity to take a legally required rest or meal break, asked to work off the clock, or not paid for all wagesowed, I acknowledge that I will notify the District Manager, Department Head, or the HR Department immediately.

4.Confidential Information: I acknowledge and agree that the sale or unauthorized use or disclosure of anyconfidential information of the Company constitutes “unfair competition.” For the purpose of this Agreement theterm “confidential information” is agreed to mean any information or knowledge obtained by employee during thecourse of her/his employment relating to ingredients, recipes, presentation of food, all current products of theCompany, any future or proposed products or services and any descriptions or features of any of the foregoing.“Confidential information” includes customer lists, customer files, personnel files, computer records, financial andmarketing data, process descriptions, policies and procedures, research plans, training materials and job aids, andpayroll. “Confidential information” also includes any information pertaining to business plans or methods ofoperation, past, present or future. Team Member promises and agrees that she/he will not engage in any “unfaircompetition” with the Company, either during the term of this Agreement or at any time thereafter. The Companywill seek immediate injunctive relief for all breeches of this agreement.

6.Severability: If any provision of this Agreement is held invalid, the invalidity shall not affect other provisions ofthe Agreement which can be given effect without the invalid provisions and to this end the provisions of thisAgreement are declared to be severable.

7.Attorneys Fees and Costs: In the event that any action is filed to enforce any rights hereunder, theprevailing party in such action, as defined by applicable state law, shall be entitled to reasonable attorneys’ fees andcosts in an amount to be determined by the tribunal.

Your signature below acknowledges that you have been given sufficient time to read and understandthe conditions of employment above and that you agree to comply with these standards.

Signature: Date:

Print Name: Store #:

Version 1.1.15 Employee Code:

5.Non-Solicitation: Employee shall not, for a period of one (1) year after termination of employment, directly orindirectly, either for herself/himself or for any other person, firm, corporation or other legal entity, solicit any personemployed by the Company to leave the employment of the Company. The Company will seek immediate injunctiverelief for all breeches of this agreement.

Reconocimiento yConvenio de Empleo

1. Tipo de Empleo: El integrante del equipo reconoce que él/ella está empleado como integrante del equipo“a voluntad.”Tanto usted como la Compañía podrán terminar el empleo en cualquier momento con o sin previa notificación ni causa.Ninguna persona de la Compañía le ha hecho alguna representación que no concuerde con su condición de empleado “avoluntad.” El acuerdo “a voluntad” solo puede ser alterado por un acuerdo firmado por usted y el Presidente. Mientrasesté epleado, el miembro del equipo no podra brindar servicios a la Compañia como trabajador independiente ócualisquier capacidad sin el acuerdo por escrito por parte de un Oficial de la Compañia.

2. Acuse de Recibo del Manual del Empleado: Confirmo que he recibido copia del Manual de la Compañía, y entiendoque comprende información importante acerca de las normas generales de la Compañía. Reconozco que se espera quelo lea, entienda y me adhiera a las normas de la Compañía, así como he de familiarizarme con el contenido de dichoManual. Entiendo que, con la excepción de las cláusulas “Empleo a Voluntad,” las normas detalladas en este Manual sonlineamientos generalizados que la Compañía puede cambiar, rescindir, o agregar información a cualquier norma,beneficios o prácticas descritas en el Manual, a su única y absoluta discreción, con o sin previa notificación.

3. Pago y Recesos: Reconozco que no debo desempeñar ningún trabajo sin registrarme en el reloj, o sin pago, y quetengo la responsabilidad de registrar mi entrada y salida en el reloj. Tambien reconozco que comprendo la politica de lacompañia referente a tomar receso y descanso para comer como requerido por las leyes de ciertos estados. Si algunavez se me niega la oportunidad de tomar un receso o descanso legal mente requerido, si me piden que trabaje sinmarcar tarjeta, ó no se me pague apropiadamente, yo reconozco que devo notificar al DM, o al Departamento deRecursos Humanos inmediatemente.

4. Información Confidencial: Reconosco y acuerdo que la venta, uso no autorizado, o divulgación de los secretos deelaboración, o cualquier información confidencial de la Compañía constituye “competencia desleal.” Se acuerda que los“secretos de elaboración” son cualquier información o conocimiento que adquiera el integrante del equipo durante suempleo con la Compañía, relacionados a los ingredientes, recetas, presentación de platillos, nombre de platillos del menú,todos los productos actuales de la Compañía, planes para la elaboración futura de productos, servicios bajo consideracióno en producción, así como cualquier descripción o característica de cualesquiera de los anteriores. “Informaciónconfidencial” significa listas de clientes o archivos, registros de personal, registros de compu-tadora, datos demercadotecnia o financieros, descripciones de procedimientos, normas y procesos, planes de investigación, guías deentrenamiento y materiales de asistencia para el trabajo y nomina. La “información confidencial” también incluyecualquier información perteneciente a los planes de negocios o métodos de operación, tanto en el pasado o presente,como en el futuro. El integrante del equipo promete y conviene que él/ella no participará en actividades que constituyancompetencia desleal con la Compañía, tanto durante el plazo de este contrato ni posteriormente. La Compañía procuraráinmediatamente un desagravio por vía de mandato judicial en caso de cualquier incumplimiento con las cláusulas de estecontrato.

5. No-incitación al empleo: Por un período de un (1) año después del cese de su empleo, el integrante del equipo noincitará al empleo, directa ni indirectamente, tanto para él/ella ni para otra persona, empresa o compañía, ni paracualquier otra entidad legal, a ningún empleado o empleador para que abandone su empleo con la Compañía. LaCompañía procurará inmediatamente un desagravio por vía de mandato judicial en caso de cualquier incumplimiento conlas cláusulas de este contrato.

6. Divisibilidad: En caso de que se determine que alguna cláusula de este contrato es inválida, dicha invalidez no afectarálas otras disposiciones de este Contrato, la cuales tendrán efecto sin las cláusulas inválidas. A dicho fin, se declaran lasdisposiciones de este Contrato divisibles.

7. Costos y Honorarios de Abogados: En caso de que se entable una acción para obligar el cumplimiento de losderechos comprendidos en la presente, la parte prevaleciente en dicha acción tendrá derecho a recibir costos yhonorarios de abogado razonables en una suma determinada por el tribunal.Con su firma a continuación, usted da constancia de que se le ha dado suficiente tiempo para leer yentender el contenido de este documento y que usted está de acuerdo con las disposiciones del mismo.

Firma del integrantedel Equipo: Fecha:

Nombre en letra demolde:

# deTienda:

Version 1.1.15Numero deempleado:

Store #:

EMPLOYEE ACKNOWLEDGMENT OF CASH HANDLING AND INFORMATION SECURITY POLICY

This will acknowledge my receipt of the Cash Handling And Information Security Policy. I understand that any violation of the cash handling procedures will result in disciplinary action up to and including termination. I also understand that I am required to report violations of the rules herein to my District Manager on the day of the violation. Your signature below acknowledges that you have been given sufficient time to read/understand this acknowledgement.

Signature: Date:

Print Name: Employee #:

RECONOCIMIENTO DEL EMPLEADO DEL MANEJO DE DINERO EN EFECTIVO Y LA REGLA DE INFORMACIÓN DE SEGURIDAD Este documento confirma que he recibo de la Manejo de efectivo y seguridad de la información. Yo entiendo que toda violación de los procedimientos de manejo de efectivo mencionados tendrá como resultado una acción disciplinaria que puede incluir el despido. También comprendo que se me solicita informar a mi Gerente de Distrito acerca de las violaciones de las reglas incluidas en este documento el día en que sucede dicha violación. Su firma a continuación es el reconocimiento de que se le ha dado tiempo suficiente como para leer/comprender este reconocimiento.

Firma: Fecha: Nombre en

letra de molde: número del empleado:

Voluntary Meal Break WaiverThis meal break waiver is optional, not mandatory. Read it carefully.

I acknowledge that when I work more than five (5) hours, but not more than six (6) hours, in a workday, I amentitled to take a thirty (30) minute unpaid, off-duty meal break that can be waived with my consent.Additionally, I acknowledge that if I work more than ten (10) hours but not more than twelve (12) hours, in aworkday, I am entitled to a second thirty (30) minute unpaid, off-duty meal break. I may waive this secondmeal period as long as I do not work more than twelve (12) hours in that workday, and I did not waive myfirst meal period.

I understand that even if I sign this waiver, I may temporarily revoke it on any given day by providing noticeto my Manager of my desire to take a meal break on that day. In this event, I understand that I need tonotify the Manager in advance so that my meal break can be coordinated and taken before the end of myfifth hour of work and in accordance with business needs. I further understand that if I am ever denied ameal break for any shift for which I am entitled to a meal break, I will immediately notify the HR Dept. bycalling the HR Hotline at 1-800-493-3464.

Accordingly, by signing this form:

I agree to waive my meal break when I work more than five (5) hours, but not more than six (6)hours in a workday.

I agree to waive my second meal break when I work more than ten (10) hours but not more thantwelve (12) hours a workday, as long as I took a meal break before the sixth hour of work.

I acknowledge that I have freely and voluntarily entered into this Agreement, and that I have been givensufficient time to read and understand this Agreement.

Note to team member: It is important that you understand that your waiver of the meal break is completelyvoluntary and at your sole discretion. If you have any questions regarding this document or feel pressuredto sign it, we request that you call Human Resources at 1-800-493-3464, without fear of retaliation.

Employee:Name: Code:

(please print)

Signature: Date: ___________________

Employer:

Name:(please print)

Signature: Date: ___________________

I wish to withdraw my above signed six (6) hour meal period waiver.

Signature: Date: ___________________

I wish to withdraw my above signed ten (10) hour meal period waiver.

Signature: Date: ___________________

Renuncia voluntaria a la pausa para comerEsta renuncia a la pausa para comer es opcional, no obligatoria. Léala atentamente.Comprendo que cuando trabajo más de cinco (5) horas, pero no más de seis (6), en una jornada laboral, tengoderecho a tomar una pausa para comer de treinta (30) minutos impagada y al margen de mis obligaciones a laque puedo renunciar voluntariamente. Además, comprendo que si trabajo más de diez (10) horas pero no másde doce (12) en una jornada laboral, tengo derecho a una segunda pausa para comer de treinta (30) minutosimpagada y al margen de mis obligaciones. Puedo renunciar a este segundo período de comida siempre que notrabaje más de doce (12) horas en esa jornada laboral, y no haya renunciado a mi primer período de comida.

Entiendo que incluso si firmo esta renuncia, puedo revocarla temporalmente cualquier día dado informando a miGerente de mi deseo de tomarme una pausa para comer ese día. En este caso, entiendo que debo notificar a miGerente con antelación para que mi pausa para comer pueda ser coordinada y tomada antes del final de miquinta hora de trabajo y de acuerdo con las necesidades del negocio. Además entiendo que si, en algunaocasión, se me niega una pausa para comer en algún turno en el que tenga derecho a una pausa para comer, lonotificaré inmediatamente al Departamento de RR. HH. llamando a la Línea de RR. HH. en el 1-800-493-3464.

En consecuencia, al firmar este formulario:

Accedo a renunciar a mi pausa para comer cuando trabaje más de cinco (5) horas, pero no más deseis (6) en una jornada laboral.

Accedo a renunciar a mi segunda pausa para comer cuando trabaje más de diez (10) horas pero nomás de doce (12) en una jornada laboral, siempre que tome una pausa para comer antes de la sextahora de trabajo.

Confirmo que he llegado a este acuerdo libre y voluntariamente, y que se me ha dado el tiempo suficiente paraleer y comprender este acuerdo.

Nota para el miembro del equipo: Es importante que comprenda que su renuncia a la pausa para comer escompletamente voluntaria y bajo su propia discreción. Si tiene alguna duda respecto a este documento o sesiente presionado a firmarlo, le pedimos que llame a Recursos Humanos al 1-800-493-3464, sin miedo a lasrepresalias.

Empleado:

Nombre: Número:(por favor, escríbalo)

Firma: Fecha:

Empleador:

Nombre:(por favor, escríbalo)

Firma: Fecha:

Deseo retirar mi renuncia al período de comida de seis (6) horas arriba firmada.

Firma: Fecha: Deseo retirar mi renuncia al período de comida de diez (10) horas arriba firmada.

Firma: Fecha:

EMPLOYEE ACKNOWLEDGMENT OFRETURN TO WORK PROGRAM / MODIFIED DUTY POLICY

By my signature below, I acknowledge and agree as follows:

I have read and fully understand the Return To Work Program / Modified Duty Policyand have had an opportunity to ask any questions I may have.

I understand that modified duty assignments are only available on a temporary basisfor up to a maximum of 90 calendar days.

I understand and agree that nothing in this Return To Work Program / Modified DutyPolicy alters the at-will nature of my employment with the Company.

Employee Signature Date

Print Name Employee Code

RECONOCIMIENTO DEL EMPLEADODEL PROGRAMA DE REGRESO AL TRABAJO/POLÍTICA SOBRE FUNCIONES

MODIFICADAS

Al firmar a continuación, reconozco y acuerdo lo siguiente:

He leído y entendido plenamente el Programa de Regreso al Trabajo/Política sobreFunciones Modificadas, y he tenido la oportunidad de formular cuantas preguntastuviese.

Entiendo que las asignaciones de funciones modificadas se encuentran solamentedisponibles en forma temporal durante un máximo de 90 días calendario.

Entiendo y acuerdo que nada de este Programa de Regreso al Trabajo/Políticasobre Funciones Modificadas altera el carácter voluntario de mi relación laboral conla Compañía.

Firma del empleado Fecha

Nombre en letra de molde Número del Empleado

July 2012

ACKNOWLEDGEMENT OF RECEIPT OF COMPANY POLICYAGAINST SEXUAL HARASSMENT AND OTHER WORKPLACE

HARASSMENT

Store Code:

Employee Code:

Employee Name:

------------------------------------------ ---------------------- Employee signature Date signed

* Políza disponible en español

------------------------------------------ ------------------------- Firma del Empleado Fecha

This will acknowledge my receipt of the Company’s Policy Against Sexual HarassmentAnd Other Workplace Harassment and the publication from the Department of FairEmployment And Housing regarding sexual harassment. I understand that it is myresponsibility to read the policy and I agree to follow it. I also understand that if I violatethe policy, I will be subject to disciplinary action up to and including termination of myemployment. I also agree and understand that I am required to report any conduct Iwitness or experience that is contrary to the policy to the Vice-President of HumanResources.

Este documento confirma que he recibido la Poliza de la Comania en contra del AcosoSexual y cualquier Otro Tipo de Acoso en el lugar del trabajo y la publicacion delDepartamento de Igualdad de Empleo y Vivienda, con respecto al hostigamiento sexual.Yo entiendo que es mi responsabilidad, leer el reglamento y estar de acuerdo encumplirlo. Tambien entiendo que si violo dicho reglamento, estare sujeto a serias medidasdisciplinarias, hasta podria ser despedido de la Empresa. Ademas, estoy de acuerdo quedebo reportar cualquier incidente que yo halla presensiado o experimentado que este encontra de los reglamentos al Vicepresidente de Recursos Humanos.

of 6Safety Training

May 2015

SAFETY TRAINING CERTIFICATION AND ACKNOWLEDGEMENTSafety Certification Checklist CASHIER (to be completed by day three of training)

Work Task Employee Signature Supervisor Signature

Complete Safety Quiz with Score of at least 90%

Mopping the dining room floor

Using a ladder to get something off a top shelf

Lifting procedures

Using a bag opener

Using a box cutter

Cleaning up a spill in the beverage area

Washing Hands

Safety Certification Checklist COOK (to be completed by day three of training)Work Task Employee Signature Supervisor Signature

Complete Safety Quiz with Score of at least 90%

Mopping the kitchen floor

Using a ladder to get something off a top shelf

Lifting procedures - Box

Lifting procedures Bag of rice

Lifting procedures Rice/water container

Using a box cutter

Using a bag opener

Sharping a cleaver

Cutting cooked chicken

Cleaning flat top grill after a batch of chicken

Cleaning flat top grill at closing (closing cook only)

Using & maintaining fryer during shift

Cleaning fryer filtering oil, boiling out (opening cook only)

Using & cleaning beef cooker, including filtering the stock

Washing Hands

I acknowledge that I have completed safety training at Yoshinoya. I have been provided a copy ofthese safety rules and enough time to review them. My questions have been asked and answered.

I understand that it is my responsibility to abide by these safety rules and procedures while performingmy job duties.

Employee Name: __________________________________

Employee Signature: __________________________________

Job Title: __________________________________

Store Number: __________________________________

Date: __________________________________

de 7Entrenamiento de Seguridad

Mayo de 2015

CERTIFICACIÓN Y RECONOCIMIENTO DE ENTRENAMIENTO DE SEGURIDADLista de Certificación de Seguridad – CAJERO (completar para el tercer día de entrenamiento)

Tarea de trabajo Firma del empleado Firma del supervisor

Complete el examen con una calificación de 90 % mínimo

Cómo trapear el piso en el área de comedor

Uso de escalera para tomar algo de las repisas superiores

Procedimientos de levantamiento

Uso de un abridor de bolsas

Uso de una navaja para cajas

Cómo limpiar un derrame en el área de las bebidas

Cómo lavarse las manos

Lista de Certificación de Seguridad: COCINERO (completar para el tercer día de entrenamiento)Tarea de trabajo Firma del empleado Firma del supervisor

Complete el examen con una calificación de 90 % mínimo

Cómo trapear el piso de la cocina

Uso de escalera para tomar algo de las repisas superiores

Procedimientos de levantamiento: caja

Procedimientos de levantamiento: bolsa de arroz

Procedimientos de levantamiento: recipiente de arroz/agua

Uso de una navaja para cajas

Uso de un abridor de bolsas

Cómo afilar un cuchillo de carnicero

Cómo cortar pollo cocido

Cómo limpiar una parrilla de tapa plana después de un lotede pollo

Limpieza de la parrilla de tapa plana al cierre de la tienda(solo el cocinero que cierra)

Uso y mantenimiento de la freidora durante el turno

Limpieza de la freidora: filtrado de aceite, mediante vapor osolución hirviendo (solo el cocinero que abre)

Uso y limpieza de la olla para cocer carne de res, lo queincluye el filtrado del caldo

Cómo lavarse las manos

Acepto que completé el entrenamiento de seguridad de Yoshinoya. Recibí una copia de estas reglas de seguridady tiempo suficiente para revisarlas. Hice mis preguntas y estas fueron respondidas. Entiendo que es miresponsabilidad sujetarme a estas reglas y procedimientos de seguridad mientras realizo mis deberes de trabajo.

Nombre del empleado: __________________________________

Firma del empleado: __________________________________

Título del puesto: __________________________________

Número de tienda: __________________________________

Fecha: __________________________________