Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). Edit, sign, and share acknowledgement form template online.No need to install software, just go to DocHub, and sign up instantly and for free. A form for the employee to sign acknowledging receipt of the policies. Following are samples of these provisions. I certify the information on the Patient Information Form is true and correct to the best of my knowledge. Signature requirements: • Signatures of all beneficiaries named in Section 2 are required on the next page. When a stipulation or other document requires two or more signatures, one of the following options may be used: a. Examples of various forms of electronic signatures are noted in Section D. 1 below. The specific task the examinee must complete will be described in a memorandum in the File.