Hacker Vaccine Security Scan Request Authorization Form

Application security verification involves techniques such as application security vulnerability scanning, application penetration testing, static analysis, and manual code review. This verification is an important part of the process of making sure that an application is properly protected against likely attacks.

By entering your details, you affirm that you are the owner and/or have the proper authority to authorize the HackerVaccine security scan for the above-specified Internet resource.

I ("Customer") hereby authorizes agents of Hacker Vaccine ("Company") to conduct security verification activities of the application(s) and system(s) at the URL or IP addresses specified below.

Pursuant to granting this authorization, Customer declares that:
Customer owns the systems to be tested and the undersigned has the proper authority to allow Company to perform application security verification activities.
Customer has created a full backup all systems to be tested and has verified that the backup procedure will enable Customer to restore systems to their pretest state.
The service necessarily involves the use of network tools and techniques designed to detect security vulnerabilities, and that it is impossible to identify and eliminate all the risks involved with the use of these tools and techniques.

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URL to scan
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