Statement of Need and Impact

[University Policy Category]:
[Title]
Version: 0000 [Number]Effective Date: xx/xx/xxxx

Statement of Need and Impact

For Proposed “[University Policy]”

In accordance with University Policy GE0001, this Statement of Need and Impact proposes [“University Policy Category and Title”] to address [general subject matter]. A draft copy of the proposed policy is attached.

Form Name: Statement of Need and Impact
Section 1. Responsible Official:

First Name
Last Name
Email
Title
Section 2. Is the policy in response to federal or state law or regulation?
Message
Section 3. Need for the proposed policy:
Message
Section 4. Expected financial impact of the policy:
Message
Section 5. Risks associated with adopting or not adopting the policy:
Message
Section 6. Expected impact of the policy on affected stakeholders:
Message
Section 7. Does this policy interact with any other policies, procedures, handbooks, or codes of conduct?
Message
Section 8. How should this policy be communicated?
Message
Section 9. Will this policy require any specific training?
Message
Section 10. Does this policy establish any new university standards?
Message
Section 11. Please summarize the policy in a format (this will be published on the policy website).
Message
Section 12. Have all the necessary reviews and approvals been completed?
Message
Section 12a. Required Review
Policy Drafter
Date of Certification
Policy Office Review
Date of Certification
Policy Review Group
Date of Certification
Senior Policy Review Group
Date of Certification
By checking this box I acknowledge that the answers above are true and my own, and that I am a responsible official representing compliance with GE0001.

Today’s Date
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Statement of Need and Impact
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