Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). On the ____ day of ____ in the year ____ before me, the undersigned, personally appeared., personally known to me or proved to me on the basis of satisfactory. A form for the employee to sign acknowledging receipt of the policies. Following are samples of these provisions. 8. Employee Acknowledgement: On this day, I received notice of my pay rate, overtime rate (if eligible), allowances, and designated payday. Explore the importance of acknowledgment letters in professional communication. Use our free template to acknowledge the receipt of emails, calls, or letters. You will receive information in the mail for continuing your benefits coverage under COBRA. How do you fill out an acknowledgment letter?