Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). A form for the employee to sign acknowledging receipt of the policies.Following are samples of these provisions. Fill in the blanks on the form to show that more than one person acknowledged a signature. Next, provide the name and signature of the person acknowledging receipt. We'll show you how with 5 acknowledgment email reply samples and a completely customizable template. Use this packet only if: • You or your spouse have lived in North Carolina for at least the last 6 months. Health History Questionnaire (fill out both pages please). Return a form acknowledging receipt of the information to the student athlete's coach. This guide is intended to assist UCSC staff members in properly accepting payments, handling cash, making deposits, and recording cash transactions.