SPRIG CYBER INDUSTRY QUOTATION FORM


General Information

Coverage required

Sensitive_Information

What type of sensitive information either in a digital or physical format do you handle manage store destroy or safeguard for others including your own employees?
Credit Debit card numbers
Medical Healthcare records
Credit history and ratings
Financial account numbers
Social Security numbers
Intellectual Property of others
Driver license numbers
Clients Employee Names Addresses
Other please specify

Is all sensitive and confidential information encrypted using industry grade mechanisms whilst:

Access

Network Security and Privacy

Which of the following statements best describes the dependency of your business on access to data and or business applications:

Media Activities

Please specify what activities are performed over your company's internet

Claims

Has the applicant received any complaints, claims or been subject to Litigation involving matters of:

DECLARATION Must be completed

CONTACT INFORMATION

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