From: Mapping the coverage of security controls in cyber insurance proposal forms
Information collected | Question in the form |
---|---|
Revenue | Gross Annual Revenue Last Year £ |
Type of Data Collected | Do you store, process and/or transmit any Sensitive Data |
 | on Your Computer System (Tick all that apply): |
 | Credit card info \(\square \) Customer info \(\square \) Money/Securities info \(\square \) |
 | Healthcare info \(\square \) Trade secrets \(\square \) IP Assets \(\square \) |
Volume of data collected | Approximately how many private individuals do you hold sensitive data on: |
Loss History | In the past 5 years has the company ever experienced |
 | any of the following events or incidents?: |
 | Sustained an unscheduled network outage that lasted over 24 hours Yes \(\square \) No \(\square \) |
 | Portable media that was lost or stolen and was not encrypted Yes \(\square \) No \(\square \) |
Out Sourcing/Suppliers | Current Network and Technology Providers (if applicable): |
 | Internet Communication Services Please Provide Information on. |
 | Credit Card Processor(s) Please Provide Information on. |
 | Website Hosting Please Provide Information on. |
 | Anti-virus Software Please Provide Information on. |
 | Managed Security Services Please Provide Information on. |