Penetration Test Scope Form
Use this Penetration Test Scope Form to provide all necessary details for planning your penetration testing engagement. Please complete all fields to ensure an accurate and effective test scope.
Organization Name
*
Primary Contact Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Penetration Test
*
Please Select
External Network
Internal Network
Web Application
Mobile Application
Cloud Environment
Other
List Target Systems, Assets, or Applications in Scope
*
Testing Objectives or Goals
*
Preferred Testing Window (Dates)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Known Restrictions or Exclusions (e.g., systems not to be tested, time restrictions)
Additional Notes or Special Instructions
Submit
Should be Empty: