Table of Contents

Agency AI Policy Template

Use this template to create an internal policy governing how an organization evaluates, approves, uses, monitors, and manages artificial intelligence tools.

Policy Record

Field Value
Organization [Organization Name]
Policy Title [AI Acceptable Use Policy / AI Governance Policy]
Policy Owner [Department, Executive Sponsor, IT, Legal, or AI Governance Lead]
Policy ID [policy identifier]
Effective Date [Month Day, Year]
Review Cycle [Annual / Semiannual / As Needed]
Status Draft
Audience Employees, contractors, vendors, and authorized users
Last Reviewed [Month Year]

Purpose

This policy establishes expectations for responsible, secure, transparent, and accountable use of artificial intelligence tools and AI-enabled services.

Scope

This policy applies to:

Policy Principles

Approved Uses

Examples of generally approved uses may include:

Restricted Uses

The following uses require additional review, approval, or safeguards:

Prohibited Uses

The organization prohibits:

Data Handling Requirements

Users must:

Human Review Requirements

AI-generated content must be reviewed before it is:

Approval Process

Step 1: Define the Use Case

Describe the business need, expected value, users, affected stakeholders, and proposed AI tool.

Step 2: Assess Risk

Review privacy, security, records, legal, operational, fairness, accessibility, and public-trust considerations.

Step 3: Review Vendor or Tool

Confirm that the tool meets organizational procurement, data, security, and governance requirements.

Step 4: Approve, Modify, or Decline

Document the decision, responsible owner, safeguards, and conditions for use.

Step 5: Monitor and Review

Periodically evaluate the tool, vendor, results, incidents, and continued suitability.

Staff Responsibilities

Staff are responsible for:

Enforcement

Violations of this policy may result in removal of tool access, additional training, corrective action, contract remedies, or other appropriate responses.

Revision History

Version Date Change Owner
0.1 [Month Year] Initial draft [Name or role]