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<br />14 <br /> <br /> <br />XIII. Acknowledgment of Receipt <br /> <br />By signing below, I acknowledge that I have received a copy of the ICS Injury and Illness <br />Prevention Program (IIPP), understand its contents, and have been informed of my right <br />to request a copy at no cost. <br /> <br />_______________________________________________________ <br />Employee Name <br /> <br />__________________________________________ <br />Employee Signature Date <br /> <br /> <br /> <br /> <br />