Acknowledgement Receipts (With Template and 2 Samples)

For employers, acknowledgment receipts are useful for confirming that employees have received handbooks, policies and other employment-related agreements. This article outlines the components of acknowledgment receipts for employment-related agreements, steps to create an acknowledgment receipt and answers to frequently asked questions about acknowledgment receipts. 


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What is an acknowledgment receipt?

An acknowledgment receipt is a document that a person signs to indicate that they have received an item, document or payment. Employers can use acknowledgment receipts for employment-related documents, employee handbook or policies. While they are not a legal document, they are useful for documenting that policies, guidelines and expectations have been given to employees and received. 


Components of an employment-related acknowledgment receipt

Include the following in an acknowledgment receipt: 

  • Receipt title: In many cases, “Acknowledgement Receipt” is sufficient.
  • Acknowledgment date: Date of receipt 
  • Document: Name of document and version number, if applicable. 
  • Statement of acknowledgment: Generally, a sentence or two indicating that the item or document has been received
  • Recipient’s name and signature: Employee name and signature


How to create an acknowledgment receipt

Use these steps to write an acknowledgment receipt:


1. Use a company letterhead

Use electronic or paper letterhead. If your business does not have stationary with a letterhead, entering your business name at the top of the document will suffice. Write your company’s address, phone number and website below it in a legible font, 2–3 points smaller than the business name font.


2. Write acknowledgment statement

Referring to the document by name, version number if applicable and state that the recipient has received the document. Some human resources (HR) departments will also add statements to their acknowledgements that the recipient understands the contents of the document. The statement should be clear and concise.


3. Sign and date

The recipient’s signature, printed name and date of signing must be included on the receipt. 


4. Explain the next step

Include instructions if further action is needed, such as a signature from a third party, legal review or any other additional items that you deem necessary. 


5. Provide contact information

Add contact information for questions or concerns. 


Best practices in acknowledgment receipts  

These are some helpful practices for creating acknowledgment receipts: 

  • Be specific. Your acknowledgment receipt should contain the names of the issuing party and the person receiving the document. A description, with the name of each document being issued, date of the issue and purpose of the document should be clear.
  • Make a duplicate. Provide a hard copy for the recipient and keep the original for your files. 
  • Be timely. Ensure that employees sign acknowledgment quickly upon receipt. 
  • Be formal. Use professional language in the acknowledgment. 
  • Address all pertinent details. Ensure that consequences for noncompliance with policies are clear, so the employee is agreeing both to receiving the document and abiding by the contents within the document. 
  • Proofread. Read through your acknowledgment receipt, check for spelling and grammar and ensure that the receipt is thorough. 


Acknowledgment receipt template

Customize this template to create an acknowledgment receipt:


I, [employee’s first and last name], understand the requirements and expectations outlined by the employee handbook at [company name]. 

I, [employee’s first and last name], acknowledge receipt of a printed copy of the handbook and agree to abide by the policies and guidelines outlined within as a condition of my employment with [company name].

I understand that if I have questions regarding [company] policies, I will consult with my immediate supervisor or Human Resources personnel.

Employee Signature: _______________________________________

Employee Printed Name: ____________________________________

Date: _________________________

Acknowledgement received by: _______________________________________________


Acknowledgment receipt examples

Use this sample as a guide to help you create your own acknowledgment receipt:


Sample 1

January 30, 2020 

I, Travis Sanchez, understand the requirements and expectations outlined by the employee handbook at The Fountain Club. 

I, Travis Sanchez, acknowledge receipt of a printed copy of the uniform policy and agree to abide by the guidelines outlined within as a condition of my employment with The Fountain Club.

I understand that should I have questions regarding The Fountain Club’s policies, I will consult with my immediate supervisor or Human Resources personnel.

*Note to employees: Please read the uniform policy carefully to ensure that you understand the policy before signing this document.

Employee Signature: _______________________________________

Employee Printed Name: Travis Sanchez

Date: January 30, 2020

Acknowledgment received by: Shelly Campbell, Club Manager


Sample 2

My signature on this document is an acknowledgment that I have received the Ecovani Employee Handbook dated January 30, 2020. 

Please read and initial the following statements. Your initial represents your understanding and agreement with the statement.

___I understand and agree that this version of the employee handbook replaces and supersedes all prior verbal and written communications regarding Ecovani’s policies, procedures, appeal processes and benefits.

___I understand that the policies, procedures, appeal processes, working conditions, proprietary information and benefits described in this handbook are the confidential intellectual property of Ecovani and may not be shared or distributed in any way nor may it be discussed with anyone who is not an employee of Ecovani.

___I have thoroughly read the contents of this handbook and understand its contents. I will act in accordance with these policies and procedures as a condition of my employment with Ecovani.

___I have read and understood the Standards of Professional Conduct set forth by Ecovani. I agree to act in accordance with the Standards of Professional Conduct as a condition of my employment by Ecovani.

___I have been informed and understand that I am to direct any questions or concerns about the handbook or the Standards of Professional Conduct to my immediate supervisor, my supervisor’s manager or Human Resources personnel for clarification.

___I acknowledge and agree that the handbook contains an employment-at-will provision that states:

My employment with Ecovani is at-will, as per the State of Florida employment law. Either Ecovani or I can terminate my employment at any time, with or without cause, and with or without notice;

This employment-at-will relationship takes precedence over any other written or verbal statements regarding policies contained in this handbook and in any other Ecovani documents; and

No person, except the Company President, may make changes to this employment relationship, contract, or agreement. To be enforceable, any such out-of-the-ordinary clause, contract or agreement must be made in writing, signed by the President and the employee, notarized and kept in the employee’s file.

I concede that the contents of this employee handbook are the policies and guidelines of Ecovani and are not a contract, declared or implied, with employees. The contents of the employee handbook are subject to change at any time, with notice to employees.

Employees: Please read this handbook and employee Standards of Professional Conduct thoroughly to ensure understanding of these conditions of employment before you sign this document.


Employee Signature




Employee Name (Please Print)


Frequently asked questions about acknowledgment receipts

The following questions are commonly asked about acknowledgment receipts:


Is an acknowledgment receipt valid if it is received via email? 

Recipients can be asked to reply with a statement of receipt.  Email versions can be printed for paper files or saved as digital copies. 


Is an acknowledgment receipt a legally-binding document? 

Acknowledgment receipts are not legally binding. However, they can still serve as evidence for employment-related disputes. 


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