Rule Compliance Evaluation Report Form
Rule Compliance Evaluation Report Form
Process, Activity, or Submission Name
*
Evaluator Name
*
First Name
Last Name
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rule or Standard Being Evaluated
*
Brief Description of the Process or Submission
*
Overall Compliance Rating
*
1
2
3
4
5
Assessment Criteria
*
Rows
Fully Compliant
Partially Compliant
Not Compliant
Not Applicable
Documentation
1
2
3
4
Process Adherence
5
6
7
8
Timeliness
9
10
11
12
Accuracy
13
14
15
16
Risk Management
17
18
19
20
Key Findings or Observations
Final Compliance Recommendation
*
Compliant
Compliant with Conditions
Not Compliant
Additional Comments or Recommendations
Submit Evaluation
Should be Empty: