An ethics manual acknowledgement form for City officers and employees to sign upon receipt of the Board of Ethics manual. This notice will tell you about the ways in which we may use and disclose medical information about you.Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). The person acknowledging the record must personally appear before the notary. Sign your full name on the signature line (see (f) in Sample Form 25). You must complete the. A notary public may waive the right to charge a fee. The seller's signature may require notarization on some out-of-state titles.