Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). ACKNOWLEDGMENT. County, North Carolina.Dear CLAIMANT OR EMPLOYER: This is to acknowledge receipt of a copy of a Petition for Judicial Review of Higher Authority. In this video, you get answers to these questions: What is a receipt and release form? Receipt Number; A-Number (if applicable); Date when filed; Application or Petition filed; Item not received; Email Address. NOTE: Do not submit an inquiry if you recently filed an application. PERS will mail additional forms necessary for completing the service retirement application after receipt of the completed Form 9A SRVC. Create a passcode for this ticket to view information and responses. Passcodes must be a minimum of 15 characters and contain at least one lowercase letter. Click here for a Motion to Serve By Publication or Posting that you can fill out on the computer.