Employee Acknowledgement Form

EMPLOYEE ACKNOWLEDGEMENT FORM

The Employee Handbook describes important information about The Company, and I understand that I should consult the (name appropriate contact) regarding any questions not answered in the Handbook. I have entered into my employment relationship with The Company voluntarily and acknowledge that there is no specified length of employment. Accordingly, either The Company or I can terminate the relationship at will, with or without cause, at anytime, so long as there is no violation of applicable federal, state, or local law.

I agree to review and abide by the company policies and related regulations. I understand that it is my responsibility to read and know the contents of the Employee Handbook.

I agree not to reproduce, distribute, or publish any portion of this Handbook without the express written consent of The Company.

I understand that I will be responsible for the return of this Handbook upon termination of my employment with The Company. If, for any reason, I fail to return this Handbook to The Company, I understand that a fee will be deducted from any monies due me at the time of termination and/or resignation.

Since the information, policies, and benefits described here are necessarily subject to change, I acknowledge that revisions to the Handbook may occur, except to The Company’s policy of employment-at-will. All such changes will be communicated through official notices, and I understand that revised information may supersede, modify, or eliminate existing policies. Only the President and Chief Executive Officer of The Company have the ability to adopt any revisions to policies in this Handbook, unless otherwise agreed upon in writing.

I further understand that attendance at any the company organized/sponsored event is strictly voluntary and not a condition of employment.

Furthermore, I acknowledge that this Handbook is not a contract for employment. I have revived the Handbook, and I understand that it is my responsibility to read and comply with the policies contained in this Handbook and any revisions made to it.

EMPLOYEE’S NAME (printed): ______

EMPLOYEE’S SIGNATURE: ______

DATE: ______

This form is an example. It is not a “model” form; it has not been reviewed by attorneys; and it does not necessarily reflect the employment laws in any or all of the fifty states. We urge you to use this as a sample, not a model; adapt it to your own organization’s policies, practices, and culture; and above all, have any new form reviewed by legal counsel.