FREE HR TEMPLATE

Policy acknowledgement form template

A formal document for employees to confirm they have received, read and understood workplace policies. Creates a clear record of policy communication and employee obligations.

Policy acknowledgement form

PDF format • Ready to download

Documents that policies have been provided

Confirms employee understanding and agreement

Creates evidence trail for compliance

Tracks policy versions and training completion

By downloading, you agree to our template disclaimer

Employee reviewing and signing policy documents

Why you need a policy acknowledgement form

A policy acknowledgement form provides documented proof that employees have received and understood your workplace policies. This is essential for enforcing policies fairly and defending claims if disputes arise.

If you need to take disciplinary action for a policy breach, having a signed acknowledgement shows the employee was aware of the policy and their obligations. Without this documentation, policy enforcement becomes difficult.

This form is typically completed during onboarding for new employees, and should be updated whenever you introduce new policies or make significant changes to existing ones.

Key features of this form

Designed to document policy communication and understanding

Policy listing

Clear list of all policies the employee has received and reviewed.

Acknowledgement checklist

Checkboxes for each policy to confirm receipt and understanding.

Comprehension confirmation

Statement that employee understands their obligations under each policy.

Compliance commitment

Employee agreement to comply with all documented workplace policies.

Training record

Space to record any policy training or induction sessions completed.

Version control

Track policy versions and dates to manage updates and re-acknowledgements.

What's included in this form

Comprehensive sections for complete policy acknowledgement

Employee details

Name, position, department and employment start date.

Policy list

Comprehensive list of all workplace policies provided to the employee.

Receipt acknowledgement

Checkboxes confirming employee has received a copy of each policy.

Understanding confirmation

Statement that employee has read and understood each policy.

Compliance agreement

Agreement to comply with all policies and procedures during employment.

Questions and clarification

Confirmation that employee has had opportunity to ask questions about policies.

Training completion

Record of any induction training or policy briefings attended.

Policy access

Information about where policies are stored and how to access them.

Update commitment

Agreement to review policy updates when communicated by the employer.

Signatures

Employee signature with date, and witness or manager sign-off.

How to use this form

Best practices for policy acknowledgement

When to use the form

New employees should complete a policy acknowledgement form during their induction, after they have been given copies of all workplace policies and had an opportunity to read them.

When you introduce new policies or make significant updates to existing ones, have employees complete a new acknowledgement form for those specific policies. This ensures everyone is aware of current requirements.

What policies to include

List all key workplace policies including code of conduct, WHS, harassment and bullying, social media, confidentiality, leave, performance management and any industry-specific policies.

Tailor the form to your workplace by adding or removing policies as relevant. Make sure employees actually receive copies of the policies listed - don't include policies that haven't been documented or provided.

Storage and record keeping

Store completed acknowledgement forms in employee personnel files. Keep them for the duration of employment plus 7 years after termination. These records are important evidence if you need to demonstrate that an employee was aware of workplace policies during a dispute or investigation.

Looking to automate this process? RosterElf's HR software handles policy management digitally, eliminating paper forms and manual tracking.

Who should use this form?

Essential for any business with workplace policies

Hospitality & cafes Retail & supermarkets Healthcare & aged care Childcare centres Trades & construction Professional services

Legal disclaimer

This template is designed to reflect Australian employment law and workplace documentation best practices at the time of publication. It is provided as a general guide only and does not constitute legal advice.

You should review and tailor this template to suit your specific workplace policies and circumstances. Having employees sign acknowledgement forms does not automatically make unfair policies legally enforceable. Seek legal advice about your policies and documentation practices.

Regulatory sources

This template is aligned with Australian employment requirements.

Fair Work Ombudsman

Ready to document policy communication?

Download our Policy Acknowledgement form template and ensure employees understand workplace expectations.

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