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Describes the HIPAA Notice of Privacy Practices. All parties must receive oral notice of the above information before completing this Acknowledgment.NOTICE OF RIGHTS AND RESPONSIBILITIES. Read all sections before you sign the form. Download Acknowledgement of Notice of Rights and Obligations (D-1704) – Court System (Wisconsin) form. Use it to inform the employees and covered contract workers in your workforce about their rights and obligations under the PFML law. A copy of the Voluntary. Acknowledgment of Paternity form will then be forwarded to the Division of Child Support Enforcement. The Notice of Privacy Practices also describe my rights and the responsibilities and duties of CORDENTAL. Sometimes this is used to have one party agree to restrictions or obligations that are not set out in an original agreement.