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Policy Receipt Acknowledgement Sample

By Susan M. Heathfield, About.com

This is a policy acknowledgement sample that you can use when employees need to acknowledge their receipt and understanding of a policy.

Policy Receipt Acknowledgement for the Dress Code

In effect: (Date) until further notice

I have read and been informed about the content, requirements, and expectations of the dress code policy for employees at Your Company. I have received a copy of the policy and agree to abide by the policy guidelines as a condition of my employment and my continuing employment at Your Company.

I understand that if I have questions, at any time, regarding the dress code policy, I will consult with my immediate supervisor or my Human Resources staff members.

Please read the dress code policy carefully to ensure that you understand the policy before signing this document.

Employee Signature: _______________________________________

Employee Printed Name: ____________________________________

Date: _________________________

Disclaimer:

This sample policy is provided for guidance only. The provided information - policies, procedures, samples, examples, and guidelines - while authoritative, is not guaranteed for accuracy and legality. While I make every effort to provide and link accurate, legal, and complete information, I cannot guarantee it is correct. Please seek legal assistance, or assistance from State, Federal, or International governmental resources, to make certain your legal interpretation and decisions are correct.

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