Fill and Sign the Sample Employee Handbook National Dairy Farm Form

Basic form © James R. McDade (ver 11-07-05) 209-667-2300 ACKNO W LE D G M EN T O F R EC EIP T Em plo yers u se t h is f o rm t o o bta in a r e co rd t h at t h e e m plo yee r e ceiv ed a c o py o f a h an dbook or o th er m ate ria l. ( D ele te t h is n ote p rio r t o u se .)I , _ ___ _________________ _______________ ( e m plo ye e’s n am e), a ckn ow le dge t h e f o llo w in g:1 . I h ave r e ce iv e d a c o py o f t h e f o llo w in g d ocu m ent( s ). DE2515 (State of California Disability Insurance Pamphlet) DE2320 (State of California Unemployment Pamphlet) DE2511 (State of California Paid Family Leave Pamphlet) Sexual Harassment Prevention [Pamphlet] [Policy] Workers’ Compensation Pamphlet Company’s Employee Handbook dated __________________, 20___ Company’s Safety Manual dated ___________________, 20___ Other: ________________________________________ dated ____________, 20___2 . I u nders ta nd t h at I a m e xp ecte d t o r e ad t h e d ocu m ent( s ) a s s o on a s p ossib le a nd t h at I m ust fo llo w t h e r u le s a nd p ro ce dure s c o nta in ed in t h e d ocu m ent( s ). [ O ptio n>If I d o n ot r e ad En glis h , it is m y r e sp onsib ilit y t o h ave t h e d ocu m ent a ccu ra te ly t r a nsla te d o r r e ad t o m e in a language I d o u nders ta nd. (N ote t o E m plo yer: S ta te p am phle ts a re a va ila ble in S panis h ; s o m e la w s r e quir e e m plo ye r to b e g iv e n p olic y in la nguage th e e m plo ye e u nders ta nds.)3. I u nders ta nd t h at t h e d ocu m ent a nd a cco m panyin g m ate ria ls s u pers e de a nd r e pla ce a ll po lic ie s p re vio usly is su ed o n t h e s a m e s u bje ct m atte r.4. I understand that the Company may change, rescind or add to any policy, procedure, benefit, or practice from time to time in its sole and absolute discretion, with or without prior notice. However, no employee, supervisor, or manager is authorized to make any change to the Company’s policies without written permission of the [President] of the Company.5. I u nders ta nd t h at I m ay q uit e m plo ym ent a t a ny t im e, a nd t h at t h e C om pany m ay t e rm in ate m y em plo ym ent a t a ny t im e, w it h o r w it h out c a use o r p rio r n otic e . T his a t- w ill e m plo ym ent re la tio nsh ip c a nnot b e a lt e re d u nle ss s p ecif ic a lly c h anged in w rit in g b y the [President] of the Company.6. I u nders ta nd t h at I m ay h ave a c o py o f a ny d ocu m ent I s ig n, f r e e o f c h arg e._ __ ___ ___________________________________ _________________________E m plo ye e’s S ig natu re Date [ O PTIO N I F N EED ED >T ra nsla to r’s C ertif ic a tio n I, _ ___ _________________ ____________ ( tr a nsla to r’s n am e), h ere by c e rtif y t h at I h ave a ccu ra te ly an d t o t h e b est o f m y a bilit y v e rb ally t r a nsla te d t h is A ckn ow le dgem ent o f R ece ip t f o r t h e e m plo ye e. _ __ ___ ___________________________________ __________________________T ra nsla to r’s S ig natu re Date