Device Security Scan Form
Share device details and preferences to coordinate a security scan.
Requester name
*
First Name
Last Name
Work email
*
example@example.com
Device type
*
Please Select
Laptop
Desktop computer
Server
Mobile phone
Tablet
Virtual machine
Network device
Other
Device manufacturer and model
*
Operating system and version
*
Asset tag or device identifier
*
Scan type or objective
*
Please Select
Vulnerability assessment
Malware scan
Configuration review
Compliance check
General security assessment
Other objective
Current device and network status
*
Device is online and connected to the work network
Device is online but not connected to the work network
Device is currently offline
Device is remote or off-site
Status is uncertain
Preferred scan timing
*
Please Select
As soon as possible
Within the next 3 business days
Within the next 2 weeks
Schedule for a specific date or window
Flexible timing
Additional context or known concerns
Submit scan request
Should be Empty: