Self Assessment

By signing below, I, the employee, acknowledge that I've answered this self-assessment honestly and accurately. Knowingly making a false statement may subject me to corrective or disciplinary action, up to and including dismissal. Pursuant to the Uniform Electronic Transaction Act (1999) KRS 369.102(8), Electronic Signatures in Global and National Commerce Act, 15 U.S.C. secs. 7001 et seq., KRS 457.250 and KRS 369.101– KRS 369.120, you agree that your below electronic signature carries the same weight and legal effect as your wet ink signature on a traditional paper document.