Security Testing Authorization Form

Complete this form to authorize Expose Security Research to conduct a security assessment on your systems.

Full NameJob TitleOrganization NamePrimary DomainAdditional Domains or SubdomainsAuthorized Systems and Scope NotesExcluded Systems or Third PartiesTesting Limits and Rate LimitsCredentials or Test Accounts

Start DateEnd DateEmergency Contact EmailEmergency Contact Phone

I confirm I am an authorized representative of the organization above and grant Expose Security Research permission to conduct security testing on the listed systems within the agreed scope.I confirm the organization owns or controls the listed systems, or has obtained written permission from any third-party provider, vendor, or cloud account owner included in scope.I understand this authorization excludes destructive testing, persistence, malware, denial-of-service, social engineering, phishing, spam, physical attacks, payment bypass, and bulk data extraction unless separately authorized in writing.

By submitting this form you are creating a legally binding authorization record. Your submission will be timestamped and your IP address logged as part of the authorization documentation. If email delivery is configured, a copy may be sent to your provided email address.

I understand that Expose Security Research will conduct testing only within the scope defined above and that this authorization does not permit testing of systems not listed.

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