Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). Edit, sign, and share policy acknowledgement form word online.No need to install software, just go to DocHub, and sign up instantly and for free. An acknowledgment is one of the most common types of notarial acts, but it often confuses Notaries. Here are 5 steps to performing an acknowledgment. The receipt is dated September 10, 2019 and includes Buguis' signature to verify receipt of payment. Next, provide the name and signature of the person acknowledging receipt. Amendment Acknowledgement: The Offeror: ____________________ acknowledges receipt of Amendment No. 5 and is made aware of the changes contained therein. Fill in the blanks on the form to show that more than one person acknowledged a signature. Fill out and copy Notice and Acknowledgement of Receipt.