External Vulnerability Assessment

Request & authorize an external vulnerability assessment.

This form collects the scope and signed authorization our team needs to schedule your external assessment — the same information a consultant would otherwise gather on a call. Submitting it sends a signed request directly to our engagement team.

What happens after you submit: this form does not start any testing by itself. An eSecurity representative will confirm engagement dates and review the scope below with you before any assessment begins.

Your organization

Who we'll be working with day to day.

Company / client name

Primary contact name

Primary contact email

Primary contact phone (optional)

Engagement details

A short name helps us and you refer to this engagement later (e.g. "Q3 2026 External Perimeter Assessment").

Engagement name

Preferred start date (optional)

Would you like recurring assessments?

One-time

A single assessment for now.

Recurring

Quarterly or ongoing retainer — we'll follow up on cadence.

Scope — targets in scope

Add every IP address, CIDR range, hostname, or URL endpoint that's actually in scope.

Authorization & signature

Scope statement

Authorized by (full name)

Title / role

Authorization date

I confirm I am authorized to approve this security assessment on behalf of this organization, that the scope described above is accurate, and that typing my name above constitutes my electronic signature authorizing this engagement.