Procurement workflow surface

Bletchley Declaration on AI Safety — vendor disclosure form

This is a sample disclosure form a procurement team can adapt for vendor RFPs and ITTs evaluating systems against Bletchley Declaration on AI Safety. The provision-specific questions below were derived from the catalog's coverage cells; before issuing, a qualified procurement lawyer should review the adapted version against your jurisdiction's contract law. This form is NOT legal advice (see charter §7.4).

Export:use your browser's Print → Save as PDF to produce a printable copy. Native .docx / .pdf export ships on the roadmap (see /wiki/roadmap); for now, browser print-to-PDF is the supported flow.

1. Vendor identification

Vendor legal name

Jurisdiction of incorporation

Primary contact (name, role)

Primary contact (email, phone)

RFP / ITT reference number

Response submission date

2. AI system identification

System name

Version / build identifier

Underlying model(s) + provider(s)

Intended use(s) within this engagement

Jurisdiction(s) of deployment

Other AI-governance instruments the system claims compliance with

3. Provision-specific questions

Foundation Models / GPAI. Does the offered system meet the threshold for a general-purpose / foundation model under Bletchley Declaration on AI Safety (Declaration §1-2 (frontier AI defined as the subject))? If yes, identify the specific obligations you will satisfy and the evidence you will provide.
(Cite: Declaration §1-2 (frontier AI defined as the subject))
Catastrophic & Existential Risk. Has the offered system been evaluated against catastrophic-risk thresholds (e.g., CBRN information uplift, autonomous replication) consistent with Bletchley Declaration on AI Safety (Declaration §3-5 (substantial risks from frontier AI, including catastrophic harm))? Provide the evaluation report or its public-disclosure equivalent.
(Cite: Declaration §3-5 (substantial risks from frontier AI, including catastrophic harm))
International Coordination. Describe the offered system's compliance posture relative to the Bletchley Declaration on AI Safety provisions identified at: Declaration §8-10 (international coordination is the operative ask).
(Cite: Declaration §8-10 (international coordination is the operative ask))

4. Documentation enclosures expected

Tick each enclosure attached to the vendor response. Missing enclosures should be explained in the “Variances” field below.

Safety / capability evaluation results
Transparency documentation (per-instrument schema)
Vendor company registration + insurance certificates
Sub-processor / supply-chain list (including model upstream)

Variances (enclosures not attached + reason)

5. Vendor attestation

The undersigned, on behalf of the vendor, attests that the disclosures above are true and complete to the best of their knowledge at the date signed, and undertakes to notify the buyer in writing within 30 days of any material change to those disclosures.

Signatory name

Signatory role / title

Signature

Date

This is a sample form derived from the catalog at /wiki/bletchley-declaration. Adapt before issuing. Not legal advice; not jurisdiction-specific. See charter §7.4.

Bletchley Declaration on AI Safety — vendor disclosure form

3. Provision-specific questions

Foundation Models / GPAI. Does the offered system meet the threshold for a general-purpose / foundation model under Bletchley Declaration on AI Safety (Declaration §1-2 (frontier AI defined as the subject))? If yes, identify the specific obligations you will satisfy and the evidence you will provide.

(Cite: Declaration §1-2 (frontier AI defined as the subject))

Catastrophic & Existential Risk. Has the offered system been evaluated against catastrophic-risk thresholds (e.g., CBRN information uplift, autonomous replication) consistent with Bletchley Declaration on AI Safety (Declaration §3-5 (substantial risks from frontier AI, including catastrophic harm))? Provide the evaluation report or its public-disclosure equivalent.

(Cite: Declaration §3-5 (substantial risks from frontier AI, including catastrophic harm))

International Coordination. Describe the offered system's compliance posture relative to the Bletchley Declaration on AI Safety provisions identified at: Declaration §8-10 (international coordination is the operative ask).

(Cite: Declaration §8-10 (international coordination is the operative ask))

4. Documentation enclosures expected

Tick each enclosure attached to the vendor response. Missing enclosures should be explained in the “Variances” field below.

Safety / capability evaluation results

Transparency documentation (per-instrument schema)

Vendor company registration + insurance certificates

Sub-processor / supply-chain list (including model upstream)