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.
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.
Questions in this template
Free templateThe exact questions included — customize any of them to fit your needs.
How to use this template
Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.
- Ready-to-use structure — pre-configured fields out of the box
- Applied "Umber" theme — fonts, colors, and layout already set
- Mobile-responsive — works on every device without extra configuration
- Fully editable with drag-and-drop — change anything in seconds
- Included on every plan — try it free for 7 days
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