Algorithm inclusivity review

[Title, role, or organization] asserts that:

• We have a policy and process to review — and have reviewed — the data set, results, and/or algorithm in order to minimize the possibility that algorithms are disadvantageous for people with disabilities.

Information that needs to be included publicly:

• Title, role or organization making the assertion
• Date of assertion
• Disabilities considered
• What was reviewed (data set, results, or algorithm itself)
• Review scope

Recommended internal documentation (Informative):

• Results
• Copy of any process and policy
• Copy of usability testing, if conducted
• Steps taken to resolve the issues found