Declaration of Acknowledgement

DECLARATION OF ACKNOWLEDGEMENT (DOA)

By signing this form I declare I have read, understand, and agree to abide by the Temporary Food Permit

Policies and Standard Operating Procedures (SOP), UHCL EHS Document Number F01.

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

Print Name: ______________________Signature: __________________________ Date: _______

UHCL EHS F01.02

1/7/22

Review by 1/7/27

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