5.15 · Safety in the Workplace
Acknowledgment of Harassment, Discrimination, and Retaliation Policies
Acknowledgment of Receipt of Policies on Prohibited Harassment, Discrimination, and Retaliation
I acknowledge that I have received a copy of the Company's Harassment, Discrimination, and Retaliation policies, including the procedure for reporting an incident or filing a complaint. I understand and agree that it is my responsibility to read and familiarize myself with these policies and to abide by them.
I understand that the Company is committed to providing a work environment free from harassment, discrimination, and retaliation, consistent with applicable federal law and the Florida Civil Rights Act of 1992. My signature below confirms that I understand I must conform to and abide by the rules and requirements described in these policies.
Print name: ______________________________________
Credentials (RBT, BCaBA, BCBA, etc.): ________________________
Employee signature: ______________________________________
Initials: ________________________
Date: ______________________________________
Must be signed and returned to [Company] Human Resources.