On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples).You are requested to sign the acknowledgment below and mail this form immediately after you receive it. A form for the employee to sign acknowledging receipt of the policies. Following are samples of these provisions. Here are five steps for correctly performing an acknowledgment: 1. Require personal appearance. This form requires an e-signature to be valid. After filing online, you will receive an email filing acknowledgement with your filing receipt attached in PDF format. Note: acknowledgments are requested!