TRAINING ACKNOWLEDGEMENT FORM
Training Session: FMLA/ADA/ADA Interactive Process Mandatory Training Video
By signing this Acknowledgement, I confirm that I watched the training class listed
above in its entirety. I listened, read, and understood the training material. I
understand that as an employee, it is my responsibility to abide by the City of Little
Rock’s policies and procedures, in accordance with the training.
If I have questions about the training, materials presented or the City of Little Rock’s
policies and procedures, I understand it is my responsibility to seek clarification from
the Human Resources Department’s Labor and Employee Relations Division via
HRLaborRelations@littlerock.gov
or contact 501-371-4590.
I understand that a copy of this Acknowledgement Form will be maintained in my
personnel file.
Print name___________________________________________________
Employee Signature________________________________________
Employee ID# ______________________________________________
Date___________________________________________________________