Business OS
AdministrationRecords & Forms

Form Of Acknowledgement

This form is used to formally acknowledge the receipt of important documents, policies, or information by an employee. Use it to create a record of communication between an employer and an employee.

Updated 15d ago
acknowledgementemployeereceiptpolicyhuman resourcesHRinternal

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

FORM OF ACKNOWLEDGEMENT

Date: {{date}}

Employee Details

I, {{employee_name}}, employee number {{employee_number}}, hereby acknowledge receipt of the following document(s) / information:

Department: {{department}}

Job Title: {{job_title}}

Document(s) / Information Acknowledged

Please tick the relevant box(es) and provide details where necessary:

{{checkbox_employee_handbook}} Employee Handbook (Version: {{handbook_version}})

{{checkbox_company_policy}} Company Policy on {{policy_name}} (Date: {{policy_date}})

{{checkbox_code_of_conduct}} Code of Conduct (Version: {{code_version}})

{{checkbox_job_description}} Job Description (Date: {{job_description_date}})

{{checkbox_performance_review}} Performance Review (Period: {{performance_review_period}})

{{checkbox_other_document}} Other (Please specify): {{other_document_details}}

Understanding and Agreement

I confirm that I have received, read (or had read to me), and understood the contents of the above-mentioned document(s) / information.

I understand that it is my responsibility to adhere to the policies, procedures, and guidelines outlined in these documents, where applicable to my role and conduct within the company.

Confidentiality Clause

I acknowledge that some of the information provided may be confidential and I agree to maintain the confidentiality of such information in accordance with the company's policies and applicable laws.

Declaration of Independent Review (Optional)

I declare that I have had the opportunity to seek independent advice regarding the contents of the document(s) / information, if I deemed it necessary.

Signature

_____________________________

{{employee_name}}

Employee Signature

Date: {{signature_date}}

_____________________________

{{witness_name}}

Witness Name (if applicable)

Witness Signature

Date: {{witness_signature_date}}

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