DIY Legal Forms

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Agreement To Accept Night Work


[Company Name]

THE UNDERSIGNED hereby acknowledges and understands that any employment is conditioned upon their acceptance of a nightwork assignment, if required. Furthermore, [Name] do understand that they can be reassigned by the company to any plant or department. However, their request for transfer will be considered only after they have successfully completed there requisite period of active employment with the company.


Undersigned (Full Name)

Witnessed by:

In case of emergency please notify:

1. Name:

Telephone Number & Address:

State relationship with person

2. Name:

Telephone Number & Address:

State relationship with person:

*** If Required By State Law ***

This Section for Notary:


STATE OF -------)

) ss: [Date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.


[Name of Notary Public]

My commission expires: [date]