By typing your full name above you are acknowledging that you have received and read the Pregnant Workers Fairness Act Policy. An acknowledgment receipt is a document used to confirm that an item has been received under specified conditions.Complete Warning Notice: Document the warning using an employee warning notice form, including the employee's signature and acknowledgment of receipt. Options and instructions for how to acknowledge this notice are located at the bottom of this document. Explanation of Benefits. Specify what you are acknowledging (e.g. , receipt of goods, documents, services, etc.). "Explore our page to understand how to use a receipt for acknowledging payments legally in any transaction. If you refuse to acknowledge receipt, you may write your refusal to acknowledge on the notice. 64 Pratt Street, Mansfield MA 02048, Phone: 508-339-5451.