AI System Use Objection Form
Please fill out this form to object to the use of an AI system.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization or Department
Objection Details
*
Reason for Objection
*
Privacy Concerns
Bias or Fairness
Data Security
Unintended Outcomes
Other
Additional Comments
I acknowledge that my objection is for the purpose of reviewing the AI system use policies.
*
1
I Agree
Would you like to receive updates on AI policy reviews?
Yes
No
Contact Phone Number (optional)
Verification
*
Submit
Should be Empty: