Acceptable Use Policy  ·  Trending

Get Employee Sign-Off on Your Generative AI Use Policy

Collect employee acknowledgment of generative AI rules, record AI tool use and training status, and reinforce confidential data protection.

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formbuilder.ai/f/workplace-generative-ai-tools-acceptable-use-policy-confidential-data-handling-acknowledgment-form
Workplace Generative AI Tools Acceptable Use Policy & Confidential Data Handling Acknowledgment Form
Full Name
· · ·
Employee / Contractor ID
· · ·
Work Email Address
· · ·
Submit

This Generative AI Acceptable Use Policy Acknowledgment Form gives your organization a simple, consistent way to confirm that every employee and contractor understands how generative AI tools may be used at work. It collects key worker details, including full name, employee or contractor ID, work email, department, job title, manager, and worker classification, along with the reason for completing the acknowledgment. A built-in policy summary highlights your core rules: use only company-approved AI tools, keep confidential data out of public AI platforms, verify all AI output, require human review of AI-assisted decisions about people, and disclose AI assistance where required.

Designed for HR teams, IT and information security leaders, compliance officers, and people managers, the template also captures which AI tools each person uses or plans to use, the work tasks they apply them to, and whether they have completed required security and data privacy training. Respondents then make clear data handling commitments: never entering customer data, PII, PHI, source code, credentials, or financial records into public or unapproved AI tools; avoiding personal AI accounts, browser extensions, and unapproved meeting note-takers; and reporting any suspected data exposure to Information Security immediately.

Using a structured acknowledgment form reduces the risk of data leaks and shadow AI while giving you an auditable record of every commitment. It works well for new hire onboarding, annual compliance refreshes, and policy updates. An open comments field also lets employees raise concerns or request approval for additional AI tools, helping you scale responsible AI adoption across your organization.

3 Pages
20 Questions
~7min To complete
Free Included on every plan
Field types singlecheckbox ×4 Full Name ×2 Short Text ×2 Dropdown ×2 Single Choice ×2 Multiple Choice ×2 Email richtext Long Text termsandconditions Signature Date

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Employee Information 8 questions
Employee Information
1 Full Name * Full Name
2 Employee / Contractor ID * Short Text
3 Work Email Address * Email
4 Department * Dropdown
5 Job Title * Short Text
6 Manager / Supervisor Name * Full Name
7 Worker Classification * Dropdown
8 Reason for Completing This Acknowledgment * Single Choice
Page 2 Policy Summary & AI Tool Usage 4 questions
Generative AI Policy Summary & Tool Usage
1 Please review the complete Generative AI Acceptable Use Policy on the company intranet before signing. Key requirements: (1) Use only company-approved generative AI tools through company-managed accounts. (2) Never enter Confidential or Restricted data into public or unapproved AI tools. This includes customer information, employee records, PII/PHI, source code, credentials, financial data, and trade secrets. (3) Treat all AI output as a draft. Verify accuracy, check for bias, and confirm you have the right to use it. (4) Never use AI to make final decisions about people, such as hiring, promotion, or discipline, without human review. (5) Disclose AI assistance where required by clients, regulators, or company policy. (6) Report any suspected data exposure to Information Security immediately. richtext
2 Which generative AI tools do you currently use or plan to use for work? * Multiple Choice
3 Which work tasks do you use generative AI for? Multiple Choice
4 Have you completed the required Generative AI Security & Data Privacy training? * Single Choice
Page 3 Data Handling Commitments & Signature 8 questions
Confidential Data Handling Commitments
1 I will never enter Confidential, Restricted, or personal data into any public or unapproved generative AI tool. This includes customer data, PII/PHI, source code, credentials, financial records, and trade secrets. * singlecheckbox
2 I will use only company-approved AI tools through company-managed accounts. I will not use personal AI accounts, browser extensions, or unapproved AI meeting note-takers for company work. * singlecheckbox
3 I will review and verify all AI-generated output for accuracy, bias, and intellectual property concerns before using or sharing it. I will disclose AI assistance where required. * singlecheckbox
4 I will immediately report any accidental or suspected exposure of company data through an AI tool to the Information Security team. * singlecheckbox
5 Questions, concerns, or requests to approve additional AI tools for your role Long Text
6 I have read, understand, and agree to comply with the Workplace Generative AI Acceptable Use Policy. I understand that AI tool activity on company systems may be logged and monitored. Violations may result in disciplinary action up to and including termination of employment or contract, as well as potential legal liability. * termsandconditions
7 Employee Signature * Signature
8 Date Signed * Date

How to use this template

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Category Legal & Compliance
Subcategory Acceptable Use Policy
Theme Umber
Badge Trending
Price Free
Coding required None

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