If you return this form to the sender, service of a summons is deemed complete on the day you sign the acknowledgment of receipt below. Notice and Acknowledgment of Receipt-Civil.FL-117-Notice and Acknowledgement of Receipt (optional). Tasks to Complete Step 2. Complete and sign the sworn statement in item 4 in front of the notary public. Request the notary acknowledge your signature in the sworn statement in item 4. All addenda shall include an acknowledgement of receipt that must be returned. This note is to acknowledge receipt of your application for a position at Contra Costa Community College District. Acknowledge receipt of this Addendum in your cover letter.