Authentication Checklist Form
Use this checklist to document and verify all steps of the authentication process.
Full Name of Person Being Authenticated
*
First Name
Last Name
Email Address
*
example@example.com
Authentication Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Authentication Performed
*
Single-Factor Authentication
Two-Factor Authentication (2FA)
Multi-Factor Authentication (MFA)
Biometric Authentication
Other
Authentication Methods Checklist
*
Password Verified
Security Questions Answered
One-Time Passcode (OTP) Used
Biometric Scan Completed
Device Registered
Other
Device or System Used for Authentication
*
Please Select
Desktop Computer
Laptop
Mobile Device
Tablet
Other
Access Level Granted
*
User
Administrator
Guest
Other
Was Multi-Factor Authentication (MFA) Required?
*
Yes
No
Authentication Status
*
Successful
Failed
Partially Completed
Reviewer Name
*
First Name
Last Name
Additional Notes or Comments
Submit Checklist
Should be Empty: