CMMC Level 1 Compliance Checklist Form
Use this form to document a CMMC Level 1 compliance review, note control status, capture findings, and record next steps.
Scope and Environment
Organization Name
*
Primary Contact Name
First Name
Middle Name
Last Name
Contact Email
example@example.com
System or Environment Being Reviewed
*
Business Type or Industry
Checklist Review Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
CMMC Level 1 Control Review
CMMC Level 1 Control Review
*
Rows
Compliant
Partially Implemented
Not Implemented
Not Applicable
Access Control
1
2
3
4
Device and Media Protection
5
6
7
8
Physical Protection
9
10
11
12
System and Communications Protection
13
14
15
16
Incident Response
17
18
19
20
Notes / Evidence / Comments
*
Findings and Next Steps
Overall Readiness Status
*
Ready
Needs Minor Remediation
Needs Major Remediation
Not Assessed
Findings Summary
*
Next Steps / Remediation Actions
*
Reviewer Name / Team
*
First Name
Middle Name
Last Name
Submit Form
Should be Empty: