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EMPLOYEE POLICY AND PROCEDURES RECEIPT AND ACKNOWLEDGMENT FORM

I, certify and acknowledge the following:
I have received and read a copy of the Policy & Procedure Manual. I understand that the policies, rules, and benefits described are subject to change or may be revised based on the company’s particular circumstances of a given situation. It is expressly understood that the contents of this manual do not constitute the terms of a contract of employment, but rather my employment with is on an at-will basis, which means that the employment relationship may be terminated at any time by either the employee or with or without cause and with or without notice. My at-will employment relationship with cannot be changed to a contract for a particular term, or otherwise modified, except by a written contract signed by myself and the President of (company name).

Employee's Signature Checking the checkbox above is equivalent to a handwritten signature.