Classification Review Request Form

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Classification Review Request Form

Form for requesting review or change of AI system classification.

10 min

Read Time

Beginner

Level

Owner:AI Act Program Manager

Effective:2025-12-11

Standard:STD-AI-001

Category:Classification

Topics:Classification reviewReclassificationChange request

Interactive Form

Fill out this form to document your compliance activities

REQUEST INFORMATION

Request ID

Request Date

Requestor Name

Requestor Role

Department

Contact Email

Contact Phone

AI SYSTEM INFORMATION

AI System Name

AI System ID

System Owner

Current Classification

ProhibitedHigh-RiskLimited-RiskMinimal-RiskGPAI

Classification Date

Classification Reference

REVIEW TYPE

View the full document for detailed form fields.

REASON FOR REVIEW

4.1 Trigger Description

4.2 Changes Since Last Classification (if applicable)

PROPOSED CLASSIFICATION (Optional)

Proposed Classification

ProhibitedHigh-RiskLimited-RiskMinimal-RiskGPAI

Annex III Category (if High-Risk)

5.1 Justification for Proposed Classification

SUPPORTING DOCUMENTATION

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IMPACT ASSESSMENT

7.1 If Classification Changes, Impact On:

7.2 Urgency Assessment

REQUESTOR DECLARATION

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REVIEW ASSIGNMENT (Official Use)

Review Assigned To

Assignment Date

Target Completion Date

Review Priority

CriticalHighMediumLow

REVIEW OUTCOME (Official Use)

Review Completion Date

Reviewed By

10.1 Classification Decision

10.2 New Classification (if changed)

New Classification

ProhibitedHigh-RiskLimited-RiskMinimal-RiskGPAI

Annex III Category

Effective Date

New Classification Form Reference

10.3 Rationale

REQUIRED ACTIONS (if reclassified)

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APPROVALS

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