Employee Handbook Receipt and Acknowledgement Form

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									This Employee Handbook Receipt and Acknowledgement Form is meant to protect
employers from liability. This form provides documentation of a new employee’s
acknowledgement that the employee has received the company’s employee handbook
and that the employee agrees to become familiar with the rules and polices set forth in
the employee handbook. Requiring an employee to sign this form helps protect a
company from a claim that an employee was not aware of a company rule. This should
be kept by the human resources department in the employee’s file.
                  Employee Handbook Receipt and Acknowledgement Form

ALL EMPLOYEES MUST READ THE ATTACHED EMPLOYEE HANDBOOK AND FILL
OUT AND RETURN THIS PAGE TO THE HUMAN RESOURCES DEPARTMENT
WITHIN ONE WEEK OF RECEIVING IT.


Employee Name: ______________________________ [Instructions: insert name]
(Please Print)


       I acknowledge that I have been given a copy of the _______________ [Instructions:
insert name of company] (“Company”) Employee Handbook and understand that I am
expected to read, understand, and adhere to its policies. I agree to familiarize myself with the
material in the Handbook.


       I understand that I am free to leave my employment at any time, for any reason or for
no reason at all, with or without notice, and that the Company has an identical right to end our
employment relationship. I further understand that no one other than officers of Company has
the authority to alter this arrangement, to enter into an agreement of employment for a
specified period of time, or to make any agreement contrary to this policy.


         I understand that the Company may change, rescind, modify, or supplement all or part
of any policies, practices, procedures, or benefits described in the Handbook from time to time,
in its sole and absolute discretion, with or without prior notice to me, with the exception of the
employment at will rights discussed above. When new policies are added or existing policies
or procedures are changed, I understand that the most recent written policies shall prevail and
will govern any new actions taken.


       If I have a written employment agreement with Company, I understand that the terms of
my written employment agreement will supersede any conflicting policies or benefits
contained in this Handbook. I further understand that if the terms and conditions of my
employment are not covered by a written agreement, the terms and conditions set forth in this
Handbook, as amended from time to time, shall govern.


Date:           _______________________ [Instructions: insert date]
Signed:         _______________________ [Instructions: insert signature]




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