Workplace Know Your Rights Act Notice Record and Acknowledgment

Updated
Utilize this form for recordkeeping pursuant to the California Workplace Know Your Rights Act (Labor Code sections 1550-1559). You provide the Workplace Know Your Rights Notice and then provide this form for employees to fill out, acknowledging that they received the Workplace Know Your Rights Notice and had the opportunity to designate and/or update an emergency contact that the company will notify if arrested or detained while working.
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