Appendix C "Citywide Vehicle Use Policy Acknowledgment" - City and County of San Francisco, California

What Is Appendix C?

This is a legal form that was released by the Department of Human Resources - City and County of San Francisco, California - a government authority operating within California. The form may be used strictly within City and County of San Francisco. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Department of Human Resources - City and County of San Francisco, California;
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  • Fill out the form in our online filing application.

Download a printable version of Appendix C by clicking the link below or browse more documents and templates provided by the Department of Human Resources - City and County of San Francisco, California.

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Citywide Vehicle Use Policy
Appendix C Acknowledgment
[For use only when employee refuses to sign Appendix C, Business Use Declaration.]
I, _____________________ [employee], acknowledge receipt of the Citywide Vehicle Use
Policy.
____________________
Signature
[Employee]
I, _____________________ [supervisor], gave to employee _____________________ a
copy of the Citywide Vehicle Use Policy on ________________ [date].
Employee _____________________ refused to sign the Business Use Declaration,
Appendix C to the Citywide Vehicle Use Policy.
_____________________
Signature
[Supervisor]
I, _____________________ [supervisor], provided employee _____________________
the memorandum/form entitled _____________________ advising him or her that, not
withstanding his/her refusal to sign Appendix C, the terms of the Citywide Vehicle Use
Policy are applicable to employee _____________________.
_____________________
Signature
[Supervisor]
Citywide Vehicle Use Policy
Appendix C Acknowledgment
[For use only when employee refuses to sign Appendix C, Business Use Declaration.]
I, _____________________ [employee], acknowledge receipt of the Citywide Vehicle Use
Policy.
____________________
Signature
[Employee]
I, _____________________ [supervisor], gave to employee _____________________ a
copy of the Citywide Vehicle Use Policy on ________________ [date].
Employee _____________________ refused to sign the Business Use Declaration,
Appendix C to the Citywide Vehicle Use Policy.
_____________________
Signature
[Supervisor]
I, _____________________ [supervisor], provided employee _____________________
the memorandum/form entitled _____________________ advising him or her that, not
withstanding his/her refusal to sign Appendix C, the terms of the Citywide Vehicle Use
Policy are applicable to employee _____________________.
_____________________
Signature
[Supervisor]