This guide discusses some important topics about an acknowledgment receipt and gives useful acknowledgment receipt examples. A sample form to document the receipt of an employee uniform with payroll deduction authorization.✓ A completed Application Form must have all fields filled out. ✓ Only the single signature page is required. The recipient's signature, printed name and date of signing must be included on the receipt. 4. Explain the next step. A collection of all the forms and and documents that are posted on the San Diego Housing Commission's (SDHC) website, listed in one location. Name of Patient (Please Print). Ameriprise now has a process to bypass setting up an account for charities to receive their death claims.