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Form for Acknowledgment of Receipt of Employee Manual
Important disclaimer: The form available below is only a sample and is furnished only as an illustration of its category. It is not meant to be taken and used without consultation with a licensed employment law attorney. If you are in need of a form for a particular situation, you should keep in mind that any sample form such as the one available here would need to be reviewed, and possibly modified, by an employment law attorney in order to fit your situation and to comply with the laws of your state. Downloading, printing, or reproducing this or any of the other forms on this site in any manner constitutes your agreement that you understand this disclaimer and that you will not use the form for your company or individual situation without first having it approved and, if necessary, modified by an employment law attorney of your choice.
It is not only a good idea for an employer to have written policies, but also to obtain each employee's written acknowledgment of having received such policies. It is very common for the acknowledgment of receipt to be coupled with a declaration of employment at will. Shown below is a form illustrating such an acknowledgment.
(Please read the following statements, sign below, and return to the personnel manager.)
I have received and have been given an opportunity to read a copy of the _________ (company name) Employee Manual, and I understand that it is my obligation to be aware of the policies contained therein. I understand that the policies and benefits described in it are subject to change at any time at the sole discretion of the Company. I understand and agree that nothing in the Employee Manual serves or is intended to serve as any form of contract or other form of express agreement with regard to my employment.
I further understand that my employment is at will, and neither myself nor the Company has entered into a contract regarding the duration of my employment. I am free to terminate my employment with the Company at any time, with or without reason. Likewise, the Company has the right to terminate my employment or take any other kind of employment action with respect to my employment at any time, with or without reason, at the discretion of the Company. No employee of the Company can enter into an employment contract for a specified period of time, or make any agreement contrary to this policy, without the written approval of the President of the Company.
Finally, I understand that from time to time, the Company may change, modify, add to, or delete any or all of the policies contained in the Employee Manual, that no change, addition, or deletion is effective unless in writing and signed by the President of the Company, and that choosing to remain with the Company after being given reasonable notice of such changes means that I have accepted the changes and have agreed to abide by them. If I have any questions regarding the policies or how they apply to my employment, I understand that I have the right to ask my supervisor or the personnel manager.
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_________________________ |
_________________________ |
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(Employee's name) |
(Name of company representative) |
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_________________________ |
_________________________ |
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(Date) |
(Date) |
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Again, it is not recommended to simply adopt this sample form for your situation without first seeking the advice of an employment law attorney. There is almost an infinite variety of forms in use for various kinds of workplaces and different kinds of situations. Moreover, the laws vary widely from state to state in some areas of employee relations. Thus, it is very important to make sure that whatever form you utilize not only truly meets your needs, but also complies with your state's law. |
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Employment Law Advisory Network, Inc.
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