Original Issuance Date: [Fill in Date]
Last Revision Date: [Fill in Date, if applicable]

1. Policy Purpose

[Insert sentence or two on the policy’s primary objectives]

2. Responsible UW System Officer

[Cabinet level officer(s) responsible for policy’s implementation and oversight]

3. Scope

[Who does the policy affect (e.g. specific stakeholder groups, if applicable)]

4. Background

[Insert rationale on why the policy needs to exist (e.g. statutory requirement, meet strategic planning objectives, critical needs, etc.)]

5. Definitions

[Insert definitions readers may find useful to determine the effect of the policy. Please follow the format below and leave a space between definitions.]

Definition term: Language that defines the term. Do not begin the sentence with a verb.

6. Policy Statement

[Insert the actual language which constitutes the policy itself. If the policy includes sections and subsections, please see the format below. If it does not, but includes a list in the content, lower case letters and/or bullets should be used. In terms of formatting in all sections, please use bullets for a list where ordering doesn’t matter and a letter or number when actions should be performed in sequence or the listed items need to be counted.]

A. Heading 1

[The actual language included in this section]

I. Subheading 1

   [The actual language included in this section.]

    1. List

[The actual language included in this section.]

a. List

    [The actual language included in this section.]

II. Subheading 2

B. Heading 2

7. Related Documents

[List any federal/state laws or regulations, or other Regent or UW System policies/procedures/guidelines that affect this policy]

8. Policy History

[List the approval date for any prior revisions of the policy as well as the policy’s initial approval date and any information when the policy may have been re-numbered, or repealed and re-created. The format that should be followed is below.]

Revision 3: Month Date, Year
Revision 2: Month Date, Year
Revision 1: Month Date, Year
First approved: Month Date, Year

9. Scheduled Review

[Denotes date of scheduled review, typically 5 years from approval date]

UW System Administrative Procedure 1.A History

Original Issuance Date: May 20, 2016

Revisions: September 16, 2019