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Acceptable Use Policy · Pro

Company IT Acceptable Use Policy Acknowledgment Form

Collect signed acknowledgments from employees confirming they've read and agree to your company's network and IT systems acceptable use policy.

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formbuilder.ai/f/company-network-it-systems-acceptable-use-policy-acknowledgment-form

Company Network & IT Systems Acceptable Use Policy Acknowledgment Form

Full Name

· · ·

Company Email Address

· · ·

Employee ID / Badge Number

· · ·

Submit

The Company Network & IT Systems Acceptable Use Policy Acknowledgment Form helps organizations formally document that every employee has read, understood, and agreed to comply with IT usage policies. It covers authorized use of company resources, prohibited activities, data security responsibilities, monitoring rights, and incident reporting obligations — with individual checkboxes for each section so nothing is overlooked.

This form is ideal for HR departments, IT security teams, and compliance officers who need a reliable, auditable record of policy acknowledgment during employee onboarding, annual policy reviews, or after significant policy updates. Each submission captures the employee's full name, ID, department, manager, and date of acknowledgment for easy record-keeping.

By digitizing this process, you eliminate paper-based workflows, reduce administrative overhead, and maintain a centralized compliance trail. Use this free template to strengthen your organization's cybersecurity posture and ensure every team member is accountable for responsible IT resource use.

3 Pages

18 Questions

~6min To complete

Free No credit card needed

Field types singlecheckbox ×5 Short Text ×3 Date ×2 Full Name Email Dropdown richtext Yes / No Long Text termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Employee Information 7 questions

Employee Details

1 Full Name * Full Name

2 Company Email Address * Email

3 Employee ID / Badge Number * Short Text

4 Job Title * Short Text

5 Department * Dropdown

6 Manager / Supervisor Name * Short Text

7 Date of Acknowledgment * Date

Page 2 Acceptable Use Policy Overview & Acknowledgments 6 questions

Company Network & IT Systems Acceptable Use Policy

1 Please carefully read each section of the Acceptable Use Policy below. By checking each acknowledgment, you confirm that you have read, understood, and agree to comply with the stated terms. Violations of this policy may result in disciplinary action, up to and including termination of employment and legal action. * richtext

1. Authorized Use — Company-provided networks, devices, email systems, internet access, and software applications are to be used primarily for legitimate business purposes. Limited personal use is permitted provided it does not interfere with job performance, consume excessive resources, or violate any policy terms.

2 I acknowledge that company IT resources are provided for business purposes and that I will use them responsibly. * singlecheckbox

2. Prohibited Activities — Users must not attempt to access unauthorized systems or data, install unapproved software, share login credentials, transmit malicious code, engage in illegal downloading or distribution of copyrighted material, use company systems for harassment or discrimination, or bypass security controls.

3 I acknowledge that I will not engage in any prohibited activities as outlined above. * singlecheckbox

3. Data Security & Confidentiality — All company data, including proprietary information, client records, and internal communications, must be handled in accordance with data classification guidelines. Sensitive data must not be stored on personal devices, shared via unsecured channels, or disclosed to unauthorized parties.

4 I acknowledge my responsibility to protect confidential and sensitive company data at all times. * singlecheckbox

4. Monitoring & Privacy — The company reserves the right to monitor, log, and audit all activity on company-owned networks, systems, devices, and accounts. Users should have no expectation of privacy when using company IT resources.

5 I acknowledge that my use of company IT systems may be monitored and recorded. * singlecheckbox

5. Incident Reporting — Users must immediately report any suspected security incidents, data breaches, lost or stolen devices, phishing attempts, or policy violations to the IT Security team.

6 I acknowledge my obligation to promptly report any security incidents or suspected policy violations. * singlecheckbox

Page 3 Final Acknowledgment & Signature 5 questions

Consent & Signature

By signing below, I confirm that I have read and understood the Company Network & IT Systems Acceptable Use Policy in its entirety. I agree to comply with all terms and conditions outlined in this policy. I understand that violation of this policy may result in disciplinary action, revocation of access privileges, termination of employment, and/or legal proceedings.

1 Have you previously signed an Acceptable Use Policy with this company? * Yes / No

2 Questions or Comments (if any) Long Text

3 I have read, understood, and agree to abide by the Company Network & IT Systems Acceptable Use Policy. I understand that non-compliance may result in disciplinary action up to and including termination. * termsandconditions

4 Employee Signature * Signature

5 Signature Date * Date

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.