Division of IT: Security Inspection Request Form

Requestor name:

Requestor email:

Phone number:

Department/organization:

Product/server/application name:

I am requesting a security inspection for the following:
web application/web page
Server
E-commerce system/application
Database
Other - please specify:

Please classify the sensitivity of this data to the best of your ability.

The MU Data Classification System (DCS) is a tool for categorizing the institution's data assets. The system consists of four levels with corresponding security requirements for each level.

Will this application, database or system use, store or transmit any of the following?
Social Security Numbers (SSN)
E-commerce/financial data
Student data
Patient data

Is this a third-party application, database or system?
Yes
No

If yes, has the application, database or system already been purchased?
Yes
No

If no, please answer the remaining questions:

How will this product be purchased?
RFB/RFP
Consulting Agreement
Sole Source

Has this application, database or system already been evaluated to meet your department's business needs?
Yes
No

Does the purchasing agreement include the Division of IT security requirements?
Yes
No