1. Training Confirmation: Section confirming completion of any required training related to the policies

2. Consequences of Non-Compliance: Optional section outlining potential consequences of policy violations

3. Policy Access Information: Information about where and how to access the full policy documents

4. Updates and Amendments: Section acknowledging that policies may be updated and employee will comply with updates

5. Language Declaration: For bilingual jurisdictions, confirmation that the employee understands the language in which the policies are written

1. Schedule A - List of Acknowledged Policies: Detailed list of all specific policies being acknowledged, with version numbers and dates

2. Schedule B - Policy Summary: Brief summary of key points from each acknowledged policy

3. Appendix 1 - Contact Information: List of relevant contacts for policy questions or reporting violations

4. Appendix 2 - Related Forms: Any additional forms that need to be completed in conjunction with the policy acknowledgement