(Personalized Seal). A form for the employee to sign acknowledging receipt of the policies.Following are samples of these provisions. For example, "Amy Smith,. Notary Public" or "John Doe, Judge. Given under my hand and seal of office this ______ day of ______, 20___. (seal). Notary Public Signature. Fill out, sign, and affix your official seal to the Notary certificate. The wording requirements for acknowledgment certificates vary from state to state. The employee should complete the acknowledgement on page two and return it for their file.