Employee AI Usage Disclosure Form
Share how you use AI tools for work.
Employee name
*
First Name
Last Name
Work email
*
example@example.com
Department or team
*
Please Select
Engineering
Product
Design
Sales
Marketing
Customer Support
Operations
Finance
Human Resources
Legal
Other
Job title or role
*
AI tool name
*
AI tool category
*
Generative text or chat assistant
Writing or editing assistant
Code generation or coding assistant
Research or summarization tool
Image, audio, or video generation
Data analysis or automation tool
Other
Work-related purpose
*
Types of information entered into the tool (Do not provide sensitive personal or financial information.)
*
Frequency of use
*
Please Select
Daily
Several times a week
About once a week
Several times a month
About once a month or less
One-time or trial use
How is the AI output reviewed or used?
*
Submit disclosure
Should be Empty: