Access Control Policy Acknowledgement

Employee Name
Department
Position/Title
Date

Policy Overview

This document acknowledges that I have read, understood, and agree to comply with the organization's Access Control Policy. I understand that my access to information systems, data, and resources is subject to the rules and restrictions set forth in said policy, and that failure to abide by these guidelines may result in disciplinary action.

Employee Acknowledgement

I hereby confirm that I have received and reviewed the Access Control Policy. I understand my responsibilities in protecting and using the organization's access privileges appropriately.
Employee Signature
Date
Supervisor/Manager Name
Signature
Date