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Run: Vendor Compliance Self-Assessment Form

Use this Vendor Compliance Self-Assessment Form to collect vendor policy, certification, insurance, and control details in one structured review. It helps yo...

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Submission Notice

Submission type (required)

Primary contact name (required)

Primary contact email (required)

I confirm I am authorized to submit this self-assessment on behalf of my organization and understand the information may be reviewed for compliance and audit purposes. (required)

Yes No N/A

Vendor Profile

Legal company name (required)

Doing business as (DBA), if applicable

Company website

Country of incorporation (required)

Service categories provided (required)

Policies and Certifications

Do you maintain and enforce a code of conduct or equivalent ethics policy? (required)

Certifications or attestations held

Other certifications or attestations

Next certification expiration date

If any required policy or certification is missing, describe the gap and remediation plan

Insurance Coverage

Do you maintain general liability insurance? (required)

Do you maintain professional liability or errors and omissions insurance? (required)

Do you maintain cyber liability insurance?

Insurance carrier name

Insurance expiration date

Operational Controls

Access control practices (required)

Data protection measures in place (required)

Do you have a documented incident reporting process? (required)

Do you maintain a business continuity or disaster recovery plan? (required)

Describe any gaps in operational controls and your remediation timeline

Supporting Documents and Attestation

Supporting documents

I attest that the information provided is accurate and complete, and I agree to notify the company of material changes to our compliance status. (required)

Yes No N/A

Name of authorized signatory (required)

Date signed (required)

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Email (required)

Your name (optional)

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