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Notices, letters and forms · Letter template · Operations

Adverse Automated Decision Explanation Letter

Letter template explaining to a person why an automated decision went against them, with the key reasons, the data used and how to request human review.

GROU LLC · built on AI Business Core, by Vreinn · · How we verify sources

Who it helps

Companies that deny credit, insurance, employment, housing or services with AI support.

Who uses it
Customer service, risk, legal and operations
Usual owner
Customer service; legal
Formats
DOCX, PDF
Languages
Español, English
Approximate length
2 pages
Length
Short. A notice, a letter, a register or a checklist, ready to fill in.
Document type
Notices, letters and forms. Texts handed to people: customers, employees, candidates or users.
Document code
APG-OPS-012. APG is the AI Policy Generator collection, OPS the area (Operations) and the number identifies the document. Use it to cite the document in your document system.

Preview

Excerpt generated from the document: the "How to use this document" section, the title and the first two sections, plus the full table of contents. The rest of the text is not shown.

APG-OPS-012 · Version 1.1.0 · sources as of November 4, 2026

How to use this document

  • Use it to explain in writing to a person why a decision made wholly or partly by an AI or scoring system went against them (denial of credit, insurance, a job or a service, or an account restriction), what data was used and how to request human review.
  • Suggested owners: the system owner (or Human Resources for employment decisions) for sending, Legal for approving the text and the system owner's data team for the reason library.
  • This letter is the written T5 response under the "AI Transparency and User Explanation Policy", which sets the circuit (channel, deadline, owner and register of explanations). Any subsequent human review is handled under the "Automated Decision Review Procedure", and the catalog of rights is in the "AI User Rights Notice".
  • Before adopting it, decide which decisions trigger the letter automatically and which only on request, who signs, how soon it is sent and through which channel.
  • Complete the base letter in section 3, add the block from section 4 that matches the type of decision and the variant for the person's country.
  • Reasons are taken from the library in section 5, which must be built from the model's actual variables and validated with the data team.
  • Keep only the variants for the countries where you make decisions about people. In the United States, credit letters and letters based on consumer reports have specific elements: use block 4.5 and review it with your advisor.
  • Ask internal legal or an outside advisor to review the final text, especially each country's deadlines and mandatory statements.
  • Approve the letter in the [AI COMMITTEE] or the body responsible for the decision process, record it with a version number and keep a copy of every letter sent in the register of explanations delivered.

Adverse Automated Decision Explanation Letter

1. Purpose and use

1.1. [ORGANIZATION NAME] uses this letter to explain to people adverse decisions in which the AI system [AI SYSTEM] is involved, so that they can understand the main reasons, correct inaccurate data and ask for a person to review the decision.

1.2. The letter is sent:

  • automatically, for the decisions the organization has defined or where the country's law provides for it; and
  • on request, for any other decision in which the system was involved.

1.3. Internal deadline for sending: [COMPLETE: number] days from the decision or the request, or the shorter period set by the country's law.

1.4. Each letter is linked to the "Automated Decision Log Standard" by its identifier, so that it is possible to check which model version, data and reasons were used, and is entered in the register of explanations delivered under the "AI Transparency and User Explanation Policy".

2. Drafting rules

  1. Specific reasons. State the actual principal reasons for the decision, usually two to four, in order of importance. Do not use generic wording such as "you did not meet our internal standards" or "system decision."
  2. Plain language. Short sentences, no technical jargon or variable names. If a technical term is needed, explain it.
  3. Role of the system. Say whether the decision was fully automated or reviewed by a person, and how much weight the system's output carried.
  4. Data used. State the categories of data and their sources (provided by the person, generated by the relationship, obtained from third parties).
  5. What could change the outcome. Where possible and not misleading, state which factors, if different, would have changed the decision.
  6. Trade secrets. Protecting trade secrets does not justify refusing any explanation. Describe the logic and factors without revealing code or exact weights, and reserve detailed information for the authority or court if they request it.
  7. Consistency. The reasons match those in the decision log. Never invent "more presentable" reasons.
  8. Rights and avenues. Explain how to request human review, how to provide information or correct data and how to complain to the authority.
  9. Accessibility. Send the letter in the language of the relationship with the person and in an accessible format on request.

Full table of contents of the document:

  • 1. Purpose and use
  • 2. Drafting rules
  • 3. Base letter
  • 4. Blocks by type of decision
  • 5. Reason library
  • 6. Log of letters sent
  • Country variants
  • Implementation aids
  • Related regulatory references
  • Version history

Rules in the registry whose obligations relate to this base document, based on our reading of the sources. It does not mean they apply to you.

Argentina

Brazil

Chile

Ecuador

European Union

Mexico

Peru

United States (federal)

California

Colorado

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