Page 155 - Personnel Policy and Procedures Manual

ACKNOWLEDGEMENT OF RECEIPT

AUGUSTA, GEORGIA POLICY AND PROCEDURES ON SUBSTANCE ABUSE

I hereby acknowledge receipt of a copy of the Augusta, Georgia Policy and
Procedures on Substance Abuse on the date written below.

I further acknowledge and understand that it is my responsibility to read and
understand the policies and procedures included in this administrative regulation.

By way of this acknowledgement, I acknowledge that I have been informed that
the Augusta, Georgia Commission may add to, revoke, and/or modify the policies
and procedures from time to time.

Date Employee Signature

Employee Printed Name

Employee Number

FORM SA-9

All Rights Reserved – As approved by the Commission on 05-07-2019 155 | P a g e