Fill - Free fillable - Sunstates Security Firearms Policy 2020 May PDF form

11|Page

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EmployeeAcknowledgementofSunstatesSecurityFirearmsPolicy

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I,_______________,herebyacknowledgethatIhavereadandhavebeenprovidedacopy

(Printnamelegibly)

of the Sunstates Firearms Policy. I fully understand and agree to comply with the

provisions and requirements therein. I further understand that any violation of this

policymayresultindisciplinaryactionuptoandincludingterminationofemployment.

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EmployeeSignature:

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Date: 

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FacilitatorName: FacilitatorSignature: 

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JobTitle:____ Date: 

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12|Page

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ProtectiveVestAcknowledgment

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I,________________________,understandthatImayrequestaProtectiveVesttobeusedinthe

(Printnamelegibly)

performanceofmyofficialduties.IcertifyunderthepenaltyofperjurythattheProtectiveVestis

notbeingpurchasedforthepurposesoftransferorresaleduringthecourseofmyemployment

withSunstatesSecurity.IamfullyinformedandawarethatSunstatesSecuritydoesnotwarranty

this product, and that I waive claims of liability against Sunstates Security due to the vest not

providingadequatesecurityorprotectionwhilewearingthisvestduringworkornon‐workhours.

ButthatshouldIgetinjuredwhilewearingthisprotectivevestduringworkinghours,thatWorkers’

CompensationisthesoleandexclusiveremedyagainstSunstatesSecurity.

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EmployeeSignature:

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Date: 

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FacilitatorName: FacilitatorSignature: 



JobTitle: Date: 

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