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+## Clever Coding Standards Agreement
+
+- [ ] Author and Review Statement, "We agree this code adheres to our [Clever Global Coding Standards](https://app.getguru.com/folders/ibabX5oT/Engineering-Standards-Best-Practices?activeCard=a8a444f4-9149-4ec7-a0fd-8ba42519d93e) and other applicable [Coding Standards](https://app.getguru.com/folders/ibabX5oT/Engineering-Standards-Best-Practices)"
+
+## JIRA
+[Link to JIRA](insert url here)
+
+## Overview
+(insert PR description here)
+
+## Testing
+(how did you test this)
+
+## Rollout
+(are there any special rollout considerations? specific steps? risks?)
+
+## Rollback
+(specific steps? risks?)
\ No newline at end of file