The foregoing instrument was acknowledged before me on this. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples).Sign and print your name below on this acknowledgement sheet. Received by: Signature. Date. This link includes Chapter 102. Next, provide the name and signature of the person acknowledging receipt. Each new employee has thirty days after beginning employment to confirm receipt of this information. Fill in the blank form formatted to comply with all recording and content requirements. Fill in the blank Unconditional Lien Waiver form formatted to comply with all Ohio recording and content requirements. Required signatures MUST be dated as indicated.