The certificate of acknowledgment (PDF) must be in the form set forth in California Civil Code section 1189. This acknowledgement is required of employees and will be used to determine how you will be paid April 7, 2020 through May 19, 2020.How do you fill out an acknowledgment letter? Select the relationship that identifies you as the authorized party to request the Birth Certificate. You may be required to provide supporting documents. Community Service Hours. If you need assistance in filling out this questionnaire, please contact the Court's Self-Help Center at (510) 272-1393. Acknowledgment Letter. Letter of Map Revision ("LOMR") or Letter of Map Amendment ("LOMA") from the FEMA. Your doctor will fill out their part of the form.