AI Tool Request Form

Requestor Information

Name:
Department:
Role:
Manager:
Date:

Tool Information

Tool Name:
Vendor:
Website:
Pricing Model:
Number of Required Licenses:

Business Justification

Primary Purpose:
Expected Benefits:
Alternative Solutions Considered:
Impact if Not Approved:

Technical Details

Does the tool offer opt-out from data training? (Yes/No):
Data security features:
Required integrations:
Type of data to be processed:
Browser/system requirements:

Usage Details

Who will use this tool?
What type of data will be processed?
How frequently will it be used?
Required access level:

Security and Compliance

Does the vendor offer enterprise security features? (Yes/No):
Is a Data Processing Agreement available? (Yes/No):
Does the tool comply with relevant regulations? (List):
Are there any known security concerns?

Additional Information

Requested implementation timeline:
Training requirements:
Additional comments:

Approval Section (For IT Security Use)

Security Review Date:
Legal Review Date:
Technical Assessment:
Risk Assessment:
Final Decision:
Approval Date:
Special Conditions:

Submitted by: __________________ Date: __________________