This non-jurisdictional form is a lactation/breastfeeding policy. It contains practical guidance, drafting notes, and alternate and optional clauses.This form is intended for private employers. Employers may include this policy in an employee handbook or distribute it as a standalone policy. It is the template for our state lactation/breastfeeding policies and has not been tailored for any jurisdiction. Use this template alone or customize it for one or more jurisdictions.For more information on lactation break requirements under the federal Fair Labor Standards Act (FLSA) (29 U.S.C. § 207(r)), see Compensable Time (FLSA) — Lactation / Nursing Accommodation / Breastfeeding Breaks. See also Rest Break and Meal Period Policies (Including Break Time for Nursing Mothers): Key Drafting Tips.For information on state laws concerning lactation/breastfeeding, see Wage and Hour State Practice Notes Chart.