POLICY ACKNOWLEDGMENT FORM
Starter template — review and adapt before use
Use this form to record that an employee or contractor has received, read, and understood a company policy or handbook.
1. Details
Organization Name:
Policy or Handbook Name:
Version or Effective Date of the Policy:
Employee/Contractor Name:
Role or Department:
2. Acknowledgment
By signing below, I confirm that:
1.I have received a copy of the policy or handbook named above, or have been told where to access it;
2.I have read it and have had the opportunity to ask questions about anything I did not understand;
3.I understand that I am expected to follow it, and that it may be updated from time to time, with updates communicated to me; and
4.I understand that this acknowledgment does not, by itself, create a contract of employment or change the terms of any existing agreement, except where applicable law provides otherwise.
3. Signature
Signature:
Printed Name:
Date:
For the Organization (optional)
Received by (Name & Title):
Date:
This is a general starting point provided by SignNinja, not legal advice. Employment rules differ by country and state, so have this reviewed against your own policies and local law before use.