No Gratuity Policy Acknowledgment Form
Please complete this form to acknowledge understanding of the No Gratuity Policy and confirm review of the policy terms.
Employee Information
Employee full name
*
First Name
Last Name
Job title / role
*
Department / team
Work location / store / branch
*
Policy Acknowledgment
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee Signature
*
Manager Confirmation
Manager or Supervisor Name
*
First Name
Last Name
Manager Confirmation Signature
*
Submit
Submit
Should be Empty: