AI Risk Acceptance Form
Client: [CLIENT NAME]
MSP: [MSP NAME]
Date: [DATE]
AI Exposure Identified
[BRIEFLY DESCRIBE THE IDENTIFIED AI USE, CONTROL GAP, OR SECURITY EXPOSURE]
Examples may include use of unapproved AI tools, personal AI accounts, sensitive data being submitted to AI services, or unauthorized AI applications connected to company systems.
Potential Business Risk
The identified exposure may increase the risk of:
☐ Confidential, customer, or regulated data disclosure
☐ Intellectual property or proprietary information exposure
☐ Credential, account, or system compromise
☐ Regulatory, contractual, or policy violations
☐ Financial, legal, or reputational harm
☐ Other: ______________________________________
Recommended Action
[DESCRIBE THE RECOMMENDED AI SECURITY OR GOVERNANCE CONTROL]
Client Decision
Please select one:
☐ Authorize the recommended AI security controls
☐ Decline the recommendation and accept the identified AI-related risk
By selecting risk acceptance, [CLIENT NAME] acknowledges that the identified exposure and potential business risks have been communicated by [MSP NAME], and that [CLIENT NAME] has chosen not to implement the recommended controls at this time.
The signer below confirms that they are authorized to make this decision on behalf of [CLIENT NAME].
Authorized Representative: ______________________________
Title: _________________________________________________
Signature: _____________________________________________
Date: _________________________________________________
This form documents the Client's decision and does not modify or replace the terms of any existing agreement between [CLIENT NAME] and [MSP NAME].
This template is provided for general informational purposes and is not legal advice. MSPs should have qualified legal counsel review it before use.