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. Next, provide the name and signature of the person acknowledging receipt. The Acknowledgement Form Template from WPForms is an excellent option for businesses needing a solid and straightforward means of recording acknowledgments. An acknowledgment receipt is a document used to confirm that an item has been received under specified conditions. Use this packet only if: • You or your spouse have lived in North Carolina for at least the last 6 months.