# Company code use decision

Account/provider reviewed: ____________________
Applicable terms and review date: ____________________
Permitted code classes and purposes: ____________________
Restricted material: ____________________
Owner authorised to change data-use choices: ____________________
Feedback-sharing procedure: ____________________
Retention evidence and unresolved questions: ____________________
Decision: NOT YET REVIEWED
Recheck after sign-in, plan, provider, preference or agreement change.