Internal Network Assessment

Request & authorize an internal network assessment.

This form collects the scope and signed authorization our team needs to schedule your internal network 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 Internal Network Assessment — HQ Office").

Engagement name

Preferred start date (optional)

How should this be delivered?

On-site, supervised

A consultant is present the whole time and walks your team through findings live.

Unattended (Automatic Mode)

A consultant connects a laptop and sets a maximum runtime; no one needs to stay on-site.

Scope — subnets & hosts

Add every CIDR subnet/VLAN in scope for the discovery sweep, plus any specific host you want enumerated directly. Use CIDR notation for subnets (e.g. 10.20.0.0/24).

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.