---
title: Policy acknowledgement form template, free
description: A free policy acknowledgement form template. Confirm you have read a named policy and version, understood it, had the chance to ask questions and will follow it. Publish it as one link; every response is its own signed copy.
---

# Policy acknowledgement

Confirm you have read a named policy and version, understood it, had the chance to ask questions and will follow it.

A signed record that each person read the current version of a policy.

## About you

- Full name (text)
- Email (email)
- Team or role (text, optional)

## The policy

- Policy name (text)
- Version (text)
- Questions (text, optional)

## Your acknowledgement

- I have read the policy named above. (tick box)
- I understand it and have had the chance to ask questions about it. (tick box)
- I will follow it, and I understand that it may be updated and that I will be asked to read any new version. (tick box)

## Signature

- Reader signature (signature)
- Reader date signed (date signed)