The phrase "a form acknowledging that" is correct and usable in written English.
It can be used when referring to a document or a format that serves to confirm or recognize a particular fact or situation.
Example: "Please fill out a form acknowledging that you have received the terms and conditions of the agreement."
Alternatives: "a document confirming that" or "a statement recognizing that".
The Douglas Manor Association, a homeowners group that runs the beach, requires swimmers to sign a form acknowledging that they recognized the risk and were swimming in spite of it.
In Vermont, any farmers who want to register as hemp growers under a new state program have to sign a form acknowledging that they risk losing their agricultural subsidies, farm equipment and livelihoods if federal agents decide to swoop in.
I don't find terribly plausible Starr's favored alternative: allowing people to opt out of the mandate if they sign a form acknowledging that they'll be ineligible for federally subsidized coverage for five years.
And, he said, Mr. Casey was only three days late on his weekly payment, though he had signed a form acknowledging that the finance company could take the truck if he was late at all.
After the secretary of state consulted with the attorney general, it was decided that he would be allowed to run, but his parents would have to sign a form acknowledging that they knew he was running and didn't oppose him doing so.
He had signed a form acknowledging that he could face a murder charge if he killed someone while driving under the influence, the release said.
They sign consent forms acknowledging that embryos are jointly held property, and that "once you make these they are made for ever.
One commissioner observed a young offender being instructed to sign a blank form acknowledging that he understood his parole conditions before the hearing had even started.
In a cheap joke- shop wig and buck teeth, he frames the show as a critique of his art form, acknowledging that there will be those in the audience baffled as to why the person next to them is laughing.
After pleading guilty Dec. 11, 2006, he signed a form acknowledging his guilt and that he could face murder charges if he killed anyone while driving under the influence, according to the release.
Sy plays Driss, an unemployed immigrant in Paris who initially is just looking for someone to sign his form, acknowledging that he's applied for jobs, so he can collect unemployment.
