INSURUN NY DFS 23 NYCRR 500.09 2018
Risk Assessment Questionnaire

2018 NY DFS CyberSecurity Risk Assessment Questionnaire

This Questionnaire satisfies the "Risk Assessment" document and control process deliverable per 23 NYCRR 500.09. Its purpose is to identify control weaknesses in your information technology environment that may lead to unauthorized disclosure and/or destruction of your customers' non-public information. The information that you enter into the questionnaire is also used to populate the two remaining required documents: the CyberSecurity Program and your agency's CyberSecurity Policies & Procedures.

Please answer as many questions as you can. If you don't know the answer to a question, leave it blank. Insurun will follow up with you by phone or email to complete the questionnaire.

Question Title

* 1. Email Address ex: JohnDoe@acme.com

Question Title

* 2. Date

Date / Time

Date