E-Government Policy Declaration Acknowledgment Form
Please review and acknowledge your understanding of the recent e-government policy update by completing this form. All information will be used solely for official acknowledgment purposes.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / Affiliation (if applicable)
Role or Position
Policy Reference Number
*
I have read and understand the updated e-government policy.
*
Yes, I acknowledge and understand the policy.
No, I need further clarification.
If you need further clarification, please specify your questions below (optional)
Date of Acknowledgment
*
-
Month
-
Day
Year
Date
Signature
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: