Policy Review Decision Making Form
Evaluate and document policy review decisions efficiently and clearly in this minimal, elegant form.
Policy Title or ID
*
Date of Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewer Name
*
First Name
Last Name
Summary of Policy
Assessment of Policy
*
Decision
*
Approve
Reject
Defer
Rationale for Decision
*
Recommended Next Steps
Submit Decision
Should be Empty: