Red Team Security Testing Request Form
Request authorized red team testing for specified systems, scope, timing, contacts, and reporting needs.
Requester and Organization Details
Requester Name
*
First Name
Middle Name
Last Name
Job Title / Role
*
Organization Name
*
Department
Business Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Target Environment and Scope
Target environment type
*
Production
Staging
Internal
External
Other
Asset name or identifier
*
System description
*
IP ranges or hostnames
*
Application name
Geographic location
Scope description
*
Testing Objectives and Methods
Testing objectives
*
Phishing simulation
Web application testing
Network testing
Physical testing
Social engineering
Credential attacks
Wireless testing
Other
Threat simulation goals
*
Allowed testing methods
*
Phishing simulation
Web application testing
Network testing
Physical testing
Social engineering
Credential attacks
Wireless testing
Other
Special techniques requested
Out of Scope and Restrictions
Systems or components not to test
*
Accounts or user groups not to target
*
Time-of-day restrictions
Business blackout periods and operational constraints
Known safety limits or actions that must never be performed
*
Schedule and Coordination
Preferred Test Window Start
*
 -
Month
 -
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Preferred Test Window End
*
 -
Month
 -
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Time Zone
*
Please Select
UTC
North America - Eastern
North America - Central
North America - Mountain
North America - Pacific
Europe - London
Europe - Central
Asia - India
Asia - Singapore
Australia - Eastern
Other
Blackout Periods or Dates to Avoid
Engagement Type
*
Please Select
One-time Test
Recurring / Retained Engagement
Other
Execution Mode
*
Remote
On-site
Hybrid
Not Applicable
Contacts, Escalation, and Reporting
Live Testing Point of Contact
*
First Name
Middle Name
Last Name
Incident Escalation Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
After-Hours Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Communication Channel During Testing
*
Please Select
Email
Phone
Messaging App
Video Call
Other
Required Reporting Deliverables
*
Executive Summary
Technical Findings
Evidence Package
Retest Support
Final Report
Other
Preferred Final Report Format
*
Please Select
PDF
Word Document
Both PDF and Word
Other
Submit Request
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