IMPACT & CONTENT REVIEW CHECKLIST
SUPPORTING DOCUMENT CHECKLIST
Form 12.01(a) — Request for AMOP (Rev. 03/17/2020)
A. Does this Procedure involve a nancial control (i.e. accounting procedures, contracting procedures, etc.)?
If yes, the Comptroller should review the draft prior to submittal.
LMS Presentation — I have included a training PowerPoint utilizing Appendix 1.01(b) for inclusion in the Learning
Management System (LMS). Required
Flow Chart — I have included a ow chart of the procedure utilizing Appendix 1.01(c) for inclusion in the Learning
Management System (LMS). Required
Who Should Receive Training? — Please identify the individuals required to
receive this training by the appropriate organizational unit(s). If this is a procedure
for all employees (e.g. countywide substance abuse procedure) then list “all.” See
Appendix 1.01(b) for a list of Hierarchical Organizational Units by Department.
B. Does this Procedure involve a complex legal matter?
If yes, Corporation Counsel should review the draft prior to submittal.
C. Does this Procedure involve a risk exposure (i.e. insurance procedures, safety, etc.)?
If yes, Risk Management should review the draft prior to submittal.
D. Does this Procedure involve a personnel issue (i.e. work rules, etc.)?
If yes, Human Resources should review the draft prior to submittal.
E. Does this Procedure impact another department? If yes, such departments should review the draft prior to submittal.
Yes, the Comptroller has reviewed this procedure.
Yes, Corporation Counsel has reviewed this procedure.
Yes, Risk Management has reviewed this procedure.
Yes, Human Resources has reviewed this procedure.
Yes, this procedure impacts other departments and the following departments have reviewed the procedure:
No, this procedure does not involve a nancial control.
No, this procedure does not involve a complex legal matter.
No, this procedure does not involve a risk exposure.
No, this procedure does not involve a personnel issue.
No, this procedure does not impact another department.
Employee Submitting Procedure: Director of Responsible Department:
Name: Name:
Title: Title:
FOR OFFICE USE ONLY
Date Received:
AMOP Committee Review Date:
AMOP Committee Approval:
Assigned Procedure Number:
Pending Procedure Posted:
Final Procedure Posted:
LMS Training Submitted to HR:
Communication Plan Executed:
