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Policy acknowledgement form template (UK, free Word download)

This is for anyone in a UK business who has to get staff to confirm they've seen a policy, and then be able to show it later. Owner, ops lead, HR person, whoever ended up with the job. It gives you a one-page form people can sign and a log so you can see who has acknowledged which version.

The idea is one form per policy, and per version of that policy. Not one form for the whole handbook. I know the handbook version is tempting: one signature, done. But a single sign-off on forty pages tells you almost nothing about what anyone read, and the moment one policy changes you've no clean way to say who has seen the new wording.

How to use it:

  • Fill in the policy details before you send it, including the version and where the full text lives.
  • Keep a fixed copy of that version. Not a link to a live document someone edits next month, but a frozen copy, so you can show exactly what the form referred to.
  • Give people real time to read the policy before asking them to sign.
  • Write down any questions people raise, and who answered them.
  • When the policy changes, issue a new form for the new version with a short summary of what changed, and use the log to see who still needs to re-acknowledge.

What the law does and doesn't say. No law requires an acknowledgement form. Contract terms can sit in a handbook, and GOV.UK says "An employer should make clear which parts of a contract are legally binding." That's why the form asks whether the policy is contractual, and why its statement doesn't say "agree" for non-contractual policies. The Acas Code of Practice on disciplinary and grievance procedures says "it is also important to help employees and managers understand what the rules and procedures are, where they can be found and how they are to be used", which is what the "where to find it" and "who to ask" lines are for. For health and safety, the HSE says "You must share the policy, and any changes to it, with your employees." A signed form is one way to show you did.

The completed forms and the log are personal information about your staff. The ICO's employment records guidance says "The storage limitation principle says you can only keep personal information for as long as you need it", so set a retention period, keep the records secure and limit who can see them.

The guide behind this template, policy acknowledgement forms: how to show staff have read a policy, explains what an acknowledgement does and doesn't prove.

The template

Download for Word (.docx)Opens in Word, Google Docs and Pages. Free, no sign-up.

Policy acknowledgement form

[Company name]

About the policy

Detail Entry
Policy name [Policy name, for example Disciplinary procedure]
Version [Version number, for example 2.1]
Date of this version [DD/MM/YYYY]
Where the full text lives [Location, for example intranet link or shared drive path]
Contractual or non-contractual [Contractual / Non-contractual]
What changed since the last version (re-issues only) [Two or three lines on what is different, or "First issue"]

What you are confirming

By signing this form I confirm that:

  • I have received version [version number] of the [policy name], dated [DD/MM/YYYY].
  • I have been given time to read it.
  • I know where to find the full text: [location].
  • I know who to ask if I have questions about it: [name and role].

[For a contractual policy or a change to contract terms, use a separate agreement letter. This form records receipt, not agreement to a contract change.]

How the policy was delivered

  • Email with the policy attached or linked
  • Intranet or shared drive link
  • Printed copy handed over
  • Walked through in person or on a call with [name]
  • Other: [describe]

Date the policy was sent: [DD/MM/YYYY]

Time given to read it before signing: [for example, three working days]

Questions raised

Question raised by the employee Answered by Date answered
[Question, or "None"] [Name and role] [DD/MM/YYYY]

Signatures

Employee Manager or HR
Name [Full name] [Full name]
Role [Job title] [Job title]
Signature
Date [DD/MM/YYYY] [DD/MM/YYYY]

Keep this form with a fixed copy of the policy version named above. [Company name] keeps these records for [retention period] in line with its retention schedule, and access is limited to [who has access].

Employer record log

One row per person, per policy, per version. Add a new row when a policy changes rather than overwriting the old one.

Employee name Policy Version Date issued Date acknowledged How delivered Questions raised (Y/N) Re-acknowledgement due Notes
[Name] [Policy name] [2.1] [DD/MM/YYYY] [DD/MM/YYYY] [Email / Intranet / Printed / In person] [Y/N] [Date or "On next change"] [Notes]

Checklist for the employer

  • Fixed copy of each policy version saved, with version number and date
  • Each policy labelled contractual or non-contractual
  • Forms issued one policy at a time, not one for the whole handbook
  • Questions recorded with who answered them
  • New form issued after each meaningful change, with a summary of what changed
  • Log reviewed for anyone still to acknowledge the current version
  • Retention period set and written into the retention schedule
  • Access to forms and log limited to the people who need it
Download for Word (.docx)Opens in Word, Google Docs and Pages. Free, no sign-up.

Questions people ask

Does signing a policy acknowledgement form make a policy legally binding?

No. The form records that someone received a specific version and had the chance to read it. Whether a policy is part of the contract is a separate question, and GOV.UK says an employer should make clear which parts are legally binding.

What should a policy acknowledgement statement say?

That the person has received a named version of the policy, has been given time to read it, knows where to find it and knows who to ask. For non-contractual policies, leave out the word "agree".

Can I use one acknowledgement form for the whole employee handbook?

You can, but it records very little. One form per policy and version shows exactly what each person saw, and makes it easy to re-issue just the policy that changed.

How often should staff re-sign a policy?

When the policy changes in a meaningful way. Issue a new form for the new version with a short summary of what changed, and use the log to track who still needs to acknowledge it.

How long should I keep signed policy acknowledgement forms?

Only as long as you need them. The ICO says to keep personal information only as long as you need it and to set a retention schedule; it doesn't give a set period for these forms, so decide yours and write it down.

Sources

The pages this template quotes and links, checked on 29 September 2026.

  1. gov.uk/employment-contracts-and-conditions/contract-terms
  2. acas.org.uk/acas-code-of-practice-on-disciplinary-and-grievance-procedures/html
  3. hse.gov.uk/simple-health-safety/policy/index.htm
  4. ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/employment/employment-practices-and-data-protection-keeping-employment-records/collecting-and-keeping-employment-records

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