EXAMPLE 7

Employee Acknowledgement Form

Employee Acknowledgement Form (A)

These company safety policies and work rules must be observed. Failure to observe these regulations will result in dismissal from employment.

A copy of the company safety policy and rules is enclosed for your protection.

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I have received and read the company safety policy and rules and agree to abide by them.

Employee's Signature - Date

Supervisor's Signature - Date

Employee Acknowledgement Form (B)

I have read and understand these instructions, and will do my best to observe them at all times. I shall keep these instructions for future reference.

I understand that failure to observe these rules will result in disciplinary action or termination of employment.

Employee's Signature - Date

Supervisor's Signature - Date

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Spanish Version

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