Anchor Sprint Logo
    Anchor SprintAI Digital Agency

    TEMPLATE · CoreAGK-TPL-03 v1.0Free preview

    AI Use Case Intake Form

    One form for anyone who wants to start using AI for something new. The answers decide the risk tier and who approves it, so low-risk ideas move fast and high-risk ones get a proper look.

    Download the full Word template
    Template version
    AGK-TPL-03 v1.0
    Format
    Word · 15 KB
    Used by
    Anyone proposing an AI use case
    When
    Weeks 4–6, then ongoing
    Document type
    Template (Record)
    Owner
    [AI Governance Lead]
    Approved by
    —
    Review cycle
    Annual
    Parent document(s)
    AGK-PRC-01
    Adoption tier
    Lite: Required · Standard: Required · Regulated: Required
    AGK-TPL-03_AI_Use_Case_Intake_Form_v1.0.docx

    1. Requester

    Field Response
    Use case name [ ]
    Requester name and role [ ]
    Department [ ]
    Proposed AI System Owner (accountable, named) [ ]
    Date submitted [ ]

    2. Business problem and users

    Field Response
    Business problem or opportunity [ ]
    What will the AI do? [ ]
    Intended users (groups, approx. number) [ ]
    Expected volume (e.g. requests per day/month) [ ]
    Expected benefits (time, cost, quality, risk) and how measured [ ]

    The remaining 5 sections are in the download

    You have read about 15% of this document. The editable Word file comes with the free Lite pack.

    Get the full document

    Free AI Governance Lite pack

    The documents an organisation starting out needs to govern AI tools in its first 90 days. Word and Excel, ready to edit.

    • Lite Quick Start and Control Checklist AGK-001 · Word
    • AI Governance Framework and Document Architecture AGK-000 · Word
    • AI Acceptable Use Policy AGK-POL-02 · Word
    • AI Data Handling Standard AGK-STD-A02 · Word
    • AI Discovery and Shadow AI Procedure AGK-PRC-07 · Word
    • AI Adoption Roadmap and Use-Case Prioritisation Guide AGK-GDL-C02 · Word
    • AI System Register AGK-TPL-01 · ExcelPreview AI System Register
    • AI Use Case Intake Form AGK-TPL-03 · Word
    • AI Incident, Nonconformity and CAPA Log AGK-TPL-06 · ExcelPreview AI Incident, Nonconformity and CAPA Log
    • AI Acceptable Use Acknowledgement AGK-TPL-07 · Word
    • Pengakuan Penggunaan AI (Bahasa Melayu) AGK-TPL-07-BM · Word
    • AI Use-Case Prioritisation and Benefits Tracker AGK-TPL-12 · ExcelPreview AI Use-Case Prioritisation and Benefits Tracker

    Template release v1.0 · ZIP · 733 KB

    Download AI Use Case Intake Form and the Lite pack

    Your details for this download

    We use your details to send this download and to understand which documents are useful. Marketing emails only if you tick the box.

    Templates for governance purposes, not legal advice.

    Powered by EzyChat