Exhibit_4_-_Employee_Acknowledgment_of_Employer_Form.pdf
PDF 77 KB Posted
- Solicitation number
- RFP-057-2761401-MM
- Issued by
- Orange County, San Francisco City, California
About this file
Exhibit 4 is an Employee Acknowledgment of Employer form involving the County of Orange. The document is a standard employee recognition form that clearly delineates the employment relationship, specifically emphasizing that the signatory is an employee of a specific employer and not of the County of Orange. The form requires the employee to acknowledge and understand that their actual employer, not the County, is responsible for providing legally required employee benefits and compensation.
The form serves as a legal disclaimer that absolves the County of Orange from any liability related to the employee's wages, salaries, benefits, or other forms of compensation. By signing the document, the employee explicitly confirms their understanding of their employment status and the limited involvement of the County in their employment arrangements. Blank lines are provided for the employee's printed name and signature, indicating this is a standard form to be completed by individual employees as part of their onboarding or contractual process.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Exhibit 4
EMPLOYEE ACKNOWLEDGMENT OF EMPLOYER
I acknowledge that I am an employee of and not of the County of Orange.
I understand that my employer, and not the County of Orange will be solely responsible for providing on my behalf, all legally required employee benefits.
I understand that the County shall not assume any liability for the payment of salaries, wages, benefits, or other compensation to, or on my behalf.
(Employee Name – Please Print) (Signature of Employee)
File details come from the government source that posted it. Updated .