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Type 1 Compliance Report (For example, SOC 1/2/3 or HIPAA or GDPR report etc at a point in time )
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* Country where the company is incorporated
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Russia
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* State where the company is incorporated
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Texas
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* Are you a Delaware C Corp? Or have you claimed your R&D Tax credits yet? Would you like to learn more about how you can get startup tax credits from our CPA partner?
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Signatory Contact Details
Please provide the following
Project Contact Details
Please provide the following
Type 1 "As of Date" Report
Please provide the following information
*When will you be ready for Type 1 audit?
*Name of the system(s) to be audited
CIS Controls Attestation
IG1
IG2
IG3
Choose a SOC Report Type or skip if you just need a Compliance Report from the following control framework list
SOC 1
SOC 2
SOC 3 (for SOC 1)
SOC 3 (for SOC 2)
Would you like to add additional trust service categories for a fee (for Type 1)?
Security
Confidentiality
Availability
Processing Integrity
Privacy
Would you like to add additional controls to your SOC report for a fee or get a stand-alone compliance report on any of these frameworks (for Type 1)?
C5
HIPAA
PHIPA
GDPR
CSA STAR
NIST 800-53
FERPA
FISMA
NIST 800-171
NIST CSF
SWIFT CSP
CCPA
HITRUST
Microsoft SSPA
Google CASA
Google MASA
PIPEDA
GLBA
Nacha ACH Audit
Nacha Web Debit Account Validation Rule Audit
NIST RMF AI Assessment
FAIR Risk Assessment
ESG Attestation
FTG Consent Order Data Security
Fedramp
CMMC
CPRA
COPPA
CIS IG1
CIS IG2
CIS IG3
NIS 2 Directive
DORA
EU AI Act
Type 2 "Audit Period" Report
Please provide the following information
*What is the start date of your Type 2 Observation Window?
Please choose a tentative
Type 2
Observation End Date
*Name of the system(s) to be audited
Choose a SOC Report Type or skip if you just need a Compliance Report from the following control framework list
SOC 1
SOC 2
SOC 3 (for SOC 1)
SOC 3 (for SOC 2)
Would you like to add additional trust service categories for a fee (for Type 2)?
Security
Confidentiality
Availability
Processing Integrity
Privacy
Would you like to add additional controls to your SOC report for a fee or get a stand-alone compliance report on any of these frameworks (for Type 2)?
C5
HIPAA
PHIPA
GDPR
CSA STAR
NIST 800-53
FERPA
FISMA
NIST 800-171
NIST CSF
SWIFT CSP
CCPA
HITRUST
Microsoft SSPA
Google CASA
Google MASA
PIPEDA
GLBA
Nacha ACH Audit
Nacha Web Debit Account Validation Rule Audit
NIST RMF AI Assessment
FAIR Risk Assessment
ESG Attestation
FTG Consent Order Data Security
Fedramp
CMMC
CPRA
COPPA
CIS IG1
CIS IG2
CIS IG3
NIS 2 Directive
DORA
EU AI Act
NON SOC Report
Please provide the following information
*When will you be ready for the audit?
*Name of the system(s) to be audited
Please select relevant controls from the following?
C5
HIPAA
PHIPA
GDPR
CSA STAR
NIST 800-53
FERPA
FISMA
NIST 800-171
NIST CSF
SWIFT CSP
CCPA
HITRUST
Microsoft SSPA
Google CASA
Google MASA
PIPEDA
GLBA
Nacha ACH Audit
Nacha Web Debit Account Validation Rule Audit
NIST RMF AI Assessment
FAIR Risk Assessment
ESG Attestation
FTG Consent Order Data Security
Fedramp
CMMC
CPRA
COPPA
CIS IG1
CIS IG2
CIS IG3
NIS 2 Directive
DORA
EU AI Act
ISO Standards
Please provide the following information
Have you hired an internal auditor?
Yes
No
Select ISO Version:
ISO/IEC 27001:2013 - Information Security Management System (ISMS)
ISO/IEC 27001:2022 - Information Security Management System (ISMS)
ISO Additional Controls
ISO/IEC 27701:2019 - Privacy Information Management System (PIMS)
ISO/IEC 27017:2015 - Cloud Service Security
ISO/IEC 27018:2019 - Protection of PII in Public Clouds
ISO 9001:2015 - Quality Management System (QMS)
ISO/IEC 22301:2019 - Business Continuity Management Systems (BCMS)
ISO/IEC 42001:2023 Information technology - Artificial intelligence - Management system
ISO 31700-1:2023 Privacy by Design
ISO 27799 Health informatics — Information security management in health using ISO/IEC 27002
1.
Please provide an overview of your organization.
Min 0 characters.
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remaining.
2.
Please provide a list of all locations where your organization operates. Include addresses and the main activities carried out at each location (if the organization is not fully virtual with no physical locations).
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remaining.
3.
Are there multiple entities within your organization that fall under the scope of the management system certification? Please specify their names and locations.
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remaining.
4.
How many and which geographic locations are included within the scope of your management system? Are there any specific locations it does not cover?
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remaining.
5.
What is the scope of your ISMS? Are there any specific parts of your organization or certain types of information it does not cover?
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remaining.
6.
Describe the different products or services (i.e. offerings) that are included within the scope of your management system.
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remaining.
7.
Please provide details about the departments within your organization that fall under the management system.
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remaining.
8.
Please provide an overview of your organization's IT infrastructure. How many and what types of systems, servers, networks, and devices are in use?
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remaining.
9.
What are the primary operating systems, databases, applications, and technologies used within your IT environment?
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remaining.
10.
Please list and briefly describe the main processes and operations that your organization has outsourced.
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remaining.
11.
Does your organization currently have a valid ISO 27001 certificate? If so, what is the expiration date?
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remaining.
12.
Did you perform an internal audit as required by Clause 9 of the ISO/IEC 27001 standard?
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remaining.
13.
Have you used a management systems consultancy to assist in designing or implementing your information security management system? If yes, please provide details.
Min 0 characters.
0
remaining.
14.
Do you have any ISMS related information (i.e., records) that cannot be made available for review by the audit team because it contains confidential or sensitive information? If yes, please state the reason for the sensitivity and how it is protected.
Min 0 characters.
0
remaining.
Target stage 1 date
Target stage 2 date
Hard Deadline
Please check off any legal or regulatory requirements that apply to your company.
General
GDPR (General Data Protection Regulation) - EU
CCPA (California Consumer Privacy Act) - California, US
PIPEDA (Personal Information Protection and Electronic Documents Act) - Canada
Healthcare
HIPAA (Health Insurance Portability and Accountability Act) - US
HITECH (Health Information Technology for Economic and Clinical Health Act) - US
GDPR (General Data Protection Regulation) - EU
Financial Services
SOX (Sarbanes-Oxley Act) - US
PCI DSS (Payment Card Industry Data Security Standard)
Gramm-Leach-Bliley Act (GLBA) - US
European Market Infrastructure Regulation (EMIR)
PSD2 (Payment Services Directive) - EU
Information Technology
ISO 27001 - International
NIST - Cybersecurity Framework
CIS - Center for Internet Security Controls
Telecommunications
FCC Regulations (Federal Communications Commission) - US
GDPR (General Data Protection Regulation) - EU
Others
Please specify here:
PCI
Please provide the following information
1-
Company Name & Country
2-
Contact
3-
What Payment Channels are supported?
Card Not Present (E-Commerce)
Card Present
Telephone Order
Mail Order
Other (describe)
4-
Do you Transmit CHD? Provide a brief description
5-
Do you Process CHD? Provide a brief description
6-
Do you Store CHD?
Yes
No
7-
Other Impact to the security of CHD? Provide a brief description
8-
Do you need to complete a Level 1 ROC or a Level 2 SAQ?
Level 1 ROC
Level 2 SAQ
9-
Are you a Merchant or Service Provider?
Merchant
Service Provider
11-
What was your total credit / debit card transaction count for the prior 12 months?
12-
Is this a 1st Year Assessment?
13-
Do you have any on-premise (company-managed) hardware & software within your cardholder data environment?
14-
IaaS - How many geographic locations are your production systems deployed?
15-
IaaS - How many accounts / projects / subscriptions are in scope?
16-
How many VPCs are your production systems deployed?
17-
How many production sub-networks are in scope?
18-
Listing of Network Security Controls deployed - Firewalls / Security Groups:
19-
Listing of Network Security Controls deployed - Web App Firewalls:
20-
Listing of Network Security Controls deployed - Network Load Balancer:
21-
Listing of Network Security Controls deployed - Application Load Balancer:
22-
Listing of serverless (Lambda, Cloud Run, etc) deployed.
23-
Listing of storage resources deployed - Relational Databases services.
24-
Listing of storage resources deployed - Storage Objects.
25-
Listing of security resources deployed - Identity Management.
26-
Listing of security resources deployed - Key Management.
27-
Listing of security resources deployed - Vulnerability Scanning.
28-
Listing of security resources deployed - Security Event Log Management.
29-
How many connections to Payment Service Providers?
30-
Do you use any card data vaulting / tokenization service providers?
31-
How many Technology Service Providers have connectivity to your CDE?
32-
Technology Service Providers - Identity Providers (Google Workspace, Okta, Azure AD, etc.)
33-
Technology Service Providers - Internal Scan Vendors (Alert Logic, Qualys, Tenable, etc.)
34-
Technology Service Providers - Log Management Service (Datadog, Splunk, etc.)
35-
How many custom E-Commerce Applications?
36-
How many Mobile Applications (apps that accept CHD)?
37-
How many API endpoints accept CHD?
38-
Do you have a current Approved Scanner Vendor (ASV) and current Attestation of Scan Compliance (AOSC) reports available?
Yes
No
39-
Do you have a Penetration Test completed within last 12 months that complies with PCI DSS Requirement 11.3 (External, Internal, and Network Segmentation)?
40-
Do you have an Automated web application security review completed in the last 12 months that complies with PCI DSS Requirement 6.6 (External facing web applications)?
HiTrust
Please provide the following information
Customer's Name & Website
Customer's Contact Details & Address
Please select the desired HITRUST Assessment
e1 Validated Assessment
i1 Validated Assessment
r2 Validated Assessment
Please select from the following if you want to include along with e1 or i1 Validated Assessment
HITRUST AI Assessment
HIPAA Assessment
Is it a first time certification? If no, please add the date of the previous certification
If no, please add the total number of requirements validated in previous certification
Have you completed a readiness assessment?
Yes
No
Organization Type: Please choose
Payer
Hospital/Inpatient Facility
Pharmacy/Pharmacy Benefit Manager
Physician Practice
Health Information Exchange
Service Provider (IT)
Service Provider (Non IT)
Federal Agency or Contractor
Do you offer Infrastructure as a Service (IaaS)?
Yes
No
Entity Type
Covered Entity
Business Associate
Number of Records that are currently held in the systems in scope
Unknown
Less than 10 million records
Between 10 and 60 million records
More than 60 million records
If answer to (4) is Unknown, what are the number of Individual Records that are processed annually
Unknown
Less than 180K Records
Between 180K and 725K Records
More than 725K Records
If answer to (5) is Unknown, what are the total Terabytes of Data Held
Less than 15 Terabytes (TB)
Between 15 and 60 Terabytes (TB)
More than 60 Terabytes (TB)
Select the appropriate factor where the collection, processing, maintenance, use, sharing, dissemination, or disposition of information occurs
Single State
Multiple State
Off shore (Outside US)
Is the system(s) accessible from the Internet?
Yes
No
Is the scoped system(s) (on premise or cloud-based) accessible by third-party personnel (e.g., business partners, vendors, cloud providers)?
Yes
No
Does the system(s) transmit or receive data with a third-party?
Yes
No
Which regulatory factors do you want to include along with r2 Validated assessment?
FISMA
CMS
HITRUST De-ID
21 CFR Part ii
SGPDA
FTC Red Flags Rule
Nevada Security of Personal Information Requirements
CA Civil Code
23 NYCRR 500
Joint Commission Accreditation
Texas Health and Safety Code
EHNAC
CRR V2016
PCI DSS Compliance
MARS-E
Banking Requirements
EU GDPR
State of Massachusetts Data Protection Act
IRS Pub 1075 Compliance
FedRAMP Certification
HIPAA
When will you be ready for the assessment?
When would you need the report completed by?
What is the type of HITRUST assessment you want to go for?
E1 Validated 1 year (44 controls)
i1 Validated 1 year (182 controls)
R2 Validated + HIPAA + CSF 2 years (375+ controls)
Have you ever had a HITRUST Audit before?
No
Yes
How many total unique PHI records do you hold currently?
Less than 10 million
Between 10 to 60 million
More than 60 million'/option>
Scoping Information
Please provide the following information
Are you a returning customer??
First time customer
Have worked before
*Has your organization received any consultancy services related to the management system for which certification is being sought? If yes, please provide the name of the consultancy firm or consultant(s) involved.
No
Yes
*Name of consultancy firm or consultant(s) involved (if above is yes)
*Number of employees and contractors relevant to the scope of the certification
*Number of locations with physical servers owned by you with client data
*Cloud Service Provider
Select a Cloud Provider
Alibaba Cloud
Amazon Web Services (AWS)
CenturyLink (Lumen)
DigitalOcean
Google Cloud Platform (GCP)
Heroku
Hewlett Packard Enterprise (HPE)
IBM Cloud
Linode (Akami)
Microsoft Azure
Oracle Cloud
Other
OVHcloud
Rackspace Technology
Red Hat
Salesforce
SAP
Tencent Cloud
Verizon Cloud
Vmware
*Compliance Automation Platform
*Number of Internet facing apps and APIs that you have custom built
*Nature of sensitive data stored: PHI/PII/PCI
*Have you experienced any security incidents in last 12 months?
*Have you lost any key employees within last 6 months?
*Are you switching platforms or auditors?
Time Zone
Hard Deadline (for Type 1 Audit)
Hard Deadline (for Type 2 Audit)
Have you had SOC 2 audit before ? If so, what's the current compliance start and end date ?
Start Date
End Date
*Timezone
Select Timezone
AST
EST
CNT
CST
ECT
EET
HST
IST
JST
MST
NST
PST
Other
*Company Size Type
Select Type
1-10 Micro
11-20 Micro+
21-50 Small
51-100 Small+
101-150 Medium
151-250 Medium+
251-500 Large
501+ Enterprise
*Region Type
Select Type
North America
EMEA (Europe, Middle East & Africa)
APAC (Asia- Pacific)
LATAM
*What is the current readiness status for the chosen frameworks?
Select Readiness Status
0 - 20%
21 - 40%
41 - 60%
61 - 80%
81 - 90%
90% +
*Compliance Automation Platform
Select Platform
No Platform - Manual
Other
Accountable
Acuity
Adoptech
AgileMD
Akitra
Anecdotes
Audit Lytics
BARR Advisory - vCISO Partner
Binalyze
Blokworx
Carbide
Chiusano Partner
Cloud303
CocoonCS
Compliancy Group
compyl
ControlMap
cybiqs
Cypago
Data Sentinel
Delve
Digital Genius Ltd
Dots.eco
Drata
DuploCloud
Enveedo
Engaiz
ePossible
Eramba
Evolve Security
Fortisec
FZ Business Group
GFI
HiComply
Hireflix
HyperComply Inc
Icompaas
iCompaas LLC
INT Business Solutions
Invert, Inc
InvestNext
Jim Sav
JupiterOne
Justin Gratto Consulting
Kepler Team
Kontaktio Inc
Level5
Lottomatrix Corporation dba, Jackpot
Mindsec
Mycroft Technologies Inc.
None/Unknown
One Trust
Oneleet
OneTrust
Paradigm4, inc.
Paramify
Philippo Ops (Get Lenk)
PowerVZ
PreVeil
Quod Financial Ltd
RiskOptics (ROAR)
Riskpulse
Sakra
Scrut Automation
Scytale
Secureframe
Security Rangers
Socurely
Sprinto
Strategy Insights
Strikegraph
Strise AS
System, Inc.
The Guard
Theorem Solutions
TrustCloud
Trustero
Tugboat Logic Inc
Vanta
VCISO
Very Good Security (VGS)
Vistrada
Vivante Health
Zip Security
*MSSP
Select MSSP
None
Adventure Council
Agency
AgileBlue
Amomitto Security
Antelope MSP
Assessivate
Atoro
axl.net
Chaotic Good Creations
Chiusano MSSP
Clarus Tech Partners
Cognisys
Compliance Giant
Compliance Lite
CompliancePath
Concierge Cyber
Coral eSecure
Cyber Security Services
Cyber Vigilant
Cybersecurity Expert On Tap
CyberTech Prefects
Digitalkeeper
Dinoct
Dotsec
DOYB Technical Solutions
Echelon Risk + Cyber
Eden Data
Eden Data
Engaiz
Flexible Systems
Gradient Cyber
GRC Knight
Guidepoint
Hotman Group
I.T. Consulting St. Petersburg
Ibexlabs
Imagis
Intelos LLC.
ioThreat
ISNT
iVedha Inc.
joe test
Kobalt.io
Lazarus Security LLC
Light IT
Magic Apple Technology, LLC
mirai
Nearshore Cyber USA LLC
Network Solutions Provider
Nimble.LA
NOYNIM IT Solutions
NSP tech
Nubinary
Observa
Offshore Security
Omni Group Consulting
One Source
Open Cyber Security
Oppos
Praxis Data Security
Prenetics Limited
Promotal
PSSC Labs
QED Systems
Ramada Security
Red Cup IT
Rhymetec
RSM
Secured Packet
SecurePoint 360
Security Consultants
Security Fanatics
Security Office Online
Security Research Group
Seiso
Signority
Silent Sector
Slava Consulting
Soter Advisory
Strategy, Advisory, and Management (SAM)
Strong Cyber Solutions
Strong Cyber Solutions
Sunstone Secure
test again
Testgram Inc
TheITAG
ThreatKey
TruAdvantage
TSC Security
VioletX!
Viridis Security
Workstreet
Zynim Inc.
Cognisys-DTA
Cognisys-Non-DTA
CyberAlly
å®‰ä¸–åŠ Anshijia
Have you hired a vciso/ consultant to support you in readiness ? If so, name them:
Type of Industry your company belongs to
Biotechnology
Computer and Network Security
Consultant
Crypto
Financial Services
FinTech
Government
Healthcare
Human Resource Services
Information Technology
Insurance
Logistics
Manufacturing
Medical Devices
Other
Renewable Energy
Retail
SLED
Software Development
Technology
Utilities and Energy
Do you want to subscribe to readiness consulting package?
None
Hourly
Essential Compliance
Managed Compliance
Would you like to get a pen test quote on
Yes
No
Which communication tool do you prefer to use?
None
Slack
Basecamp
How often would you like to meet with our audit team?
None
Bi-weekly
Monthly
* How did you hear about us?
Internet search
Referral from another client
Referral from my compliance platform
Other
* Who is your compliance platform customer success manager (if any)?
Who is your account manager?
None
Brittney Casper
Chad Gerald
Chris Granzier
Hunter Jones
Micaela Posey
Reanna Blakely
Gabriela Araujo
Other
Quick Review
Here is a quick summary. Just click Approve when you are ready.
Name of the Company
Primary Contact Name
Primary Contact Email
Primary Contact No.
Audit Type(s)
Type 1 Audit Start Date
Type 1 Audit Trust Services
Type 1 Audit Additional Controls
Type 2 Audit Period
Type 2 Audit Trust Services
Type 2 Audit Additional Controls
(Non Soc) Date of Audit
(Non Soc) Name of System
(Non Soc)Â Controls
Pen Test Tier
ISO 27001 Stage 1 date
ISO 27001 Stage 2 date
HITRUST Start date
HITRUST Deadline
HITRUST Assessment type
HITRUST Audit before
HITRUST PHI records
Thank you for your time
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