DRAFT — Adapt for your institution. This template supplements your standard vendor assessment and HECVAT process.
Complete during procurement, contract renewal, or when a vendor
introduces new AI features.
Assessment details
Vendor name [Vendor name]
Product / service [Product or service name]
Assessment date [Date]
Assessor [Name and title]
Existing contract? [Y / N]
Contract renewal date [Date or N/A]
4. Security and Compliance
5. Contract Terms
Risk Assessment Summary
Overall risk tier recommendation [1 / 2 / 3]
See AI Governance Committee Charter for tier definitions. Tier 1 = minimal risk, Tier 2 = moderate risk, Tier 3 = high risk.
Outstanding questions requiring vendor response
Conditions for approval, if any
Signatures
Assessor name [Name]
Assessor title [Title]
Date [Date]
Committee review date [Date]
Committee decision [Decision]