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Policy Acknowledgement Form for Indonesia

Policy Acknowledgement Form Template for Indonesia

A comprehensive document designed for use in Indonesia that serves as formal evidence of an employee's acknowledgment and understanding of company policies. Created in compliance with Indonesian Labor Law No. 13 of 2003 and associated regulations, this document must be presented in both Indonesian and English languages as per Law No. 24 of 2009. The form captures essential employee information, specific policy details, acknowledgment statements, and includes provisions for both traditional and electronic signatures in accordance with Law No. 11 of 2008 on Electronic Information and Transactions. It serves as a crucial record for regulatory compliance and risk management purposes.

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What is a Policy Acknowledgement Form?

The Policy Acknowledgement Form is a fundamental document used in Indonesian business operations to establish a clear record of employee awareness and acceptance of company policies. It serves as a critical compliance tool under Indonesian labor law, particularly when implementing new policies or updating existing ones. The form must be provided in both Indonesian and English languages, with the Indonesian version taking precedence in case of any discrepancy. This document typically includes employee identification details, specific policy references, acknowledgment statements, and signature blocks. It's particularly important for risk management and compliance purposes, providing documentary evidence of policy communication and acceptance in accordance with Indonesian regulatory requirements.

What sections should be included in a Policy Acknowledgement Form?

1. Employee Information: Full name, employee ID, position, and department of the acknowledging employee

2. Policy Identification: Clear listing of the specific policies being acknowledged, including policy names, version numbers, and dates

3. Acknowledgement Statement: Clear statement confirming that the employee has received, read, and understood the policies

4. Compliance Declaration: Employee's declaration to comply with all policies listed

5. Language Declaration: Statement confirming the form is provided in both Indonesian and English, with Indonesian version prevailing

6. Signature Block: Space for employee signature, date, and company representative signature

What sections are optional to include in a Policy Acknowledgement Form?

1. Electronic Signature Consent: Section for accepting electronic signature method, required when using digital acknowledgement systems

2. Training Confirmation: Confirmation of completed training on the policies, included when policy training is mandatory

3. Consequences of Non-Compliance: Optional section outlining specific consequences of policy violations

4. Policy Access Information: Details on how to access policies electronically, included when policies are maintained in digital format

What schedules should be included in a Policy Acknowledgement Form?

1. Schedule A - Policy List: Detailed list of all policies being acknowledged, including policy names, version numbers, and effective dates

2. Schedule B - Policy Summary: Brief summary of key points from each policy being acknowledged

3. Appendix 1 - Contact Information: List of relevant contacts for policy-related questions or concerns

4. Appendix 2 - Revision History: Track record of updates to the acknowledgement form itself

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Indonesia

Publisher

Ƶ

Cost

Free to use
Relevant legal definitions




















Clauses















Relevant Industries

Banking & Finance

Technology

Manufacturing

Retail

Healthcare

Education

Mining

Construction

Energy

Telecommunications

Professional Services

Logistics

Agriculture

Government Services

Hospitality

Relevant Teams

Human Resources

Legal

Compliance

Risk Management

Operations

Administration

Internal Audit

Employee Relations

Training & Development

Corporate Governance

Relevant Roles

Chief Executive Officer

Managing Director

Department Manager

HR Manager

Compliance Officer

Legal Counsel

Operations Manager

Staff Engineer

Administrative Assistant

Sales Representative

Financial Analyst

Project Manager

Production Supervisor

Quality Control Inspector

Customer Service Representative

Research Scientist

Marketing Coordinator

IT Specialist

General Worker

Security Officer

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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