Pre-Login Device Compliance Verification Report Form
Verify and report device compliance status before granting login access. Complete all sections using non-sensitive information only.
Device Identifier (e.g., hostname, asset tag, or serial number)
*
Name of User Submitting Report
*
Email Address of User Submitting Report
*
example@example.com
Device Platform
*
Windows
macOS
Linux
iOS
Android
Other
Device Ownership
*
Organization-owned
Personally-owned (BYOD)
Overall Device Compliance Status
*
Compliant
Non-Compliant
Partial/Unknown
Compliance Checks Performed
*
Antivirus/EDR Active
Operating System Updated
Disk Encryption Enabled
Screen Lock Enabled
Firewall Enabled
No Unauthorized Software Detected
Secure Network Connection
Other
Antivirus/EDR Status
*
Active and Updated
Inactive or Outdated
Not Installed
Operating System Version
*
Date of Last Patch/Update Applied
*
-
Month
-
Day
Year
Date
Disk Encryption Status
*
Enabled
Disabled
Not Applicable
Screen Lock Settings
*
Enabled (with timeout)
Enabled (manual only)
Disabled
Network/Security Posture
*
Connected to Trusted Network
VPN Enabled
Firewall Active
No Open Wi-Fi
Other
Any Issues Detected?
*
No issues detected
Issues detected (please specify below)
Description of Issues (if any)
Remediation Actions Taken or Needed
Upload Evidence (screenshots or reports, if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Final Verifier Comments
Submit Report
Should be Empty: