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Security vulnerability report form template

A responsible disclosure form: the issue, how to reproduce it, the likely impact and the disclosure timeline.

Use this templateFree · no credit card
  • 13 questions
  • 3 pages
  • 5 min to fill in
  • Tech and e-commerce
formkit.app/you/security-vulnerability-report
Security vulnerability report

Report a security issue

Thank you for looking. Three short pages, about five minutes. Please do not test on other people's accounts or data.

13 questions · 3 pages
Try a theme

This is the real template. Fill it in, then make it yours.

A responsible disclosure form: what the issue is, how to reproduce it, what an attacker could do and whether it has been shared. The impact is required for critical and high issues. On Pro, critical reports, or ones the AI reads as exposing other people's data, end on an urgent acknowledgement, and an acknowledgement from your disclosure policy is written and ready, checked by a person before every send.

Who it’s for

Software companies that want a proper place for security reports instead of a shared inbox, linked from security.txt or the footer.

Page by page

Every question in this template

The pages as a respondent meets them. Pick any question to open it in the live preview above.

  1. Page 1Questions3 questions
  2. Page 2The issue7 questions
  3. Page 3Disclosure3 questions
  4. ThenThank you, the security team has it

    We acknowledge every report within two working days and keep you updated until it is fixed.

    Conditional logic is already set up
What comes back

Every answer, in one place

Each response lands in your inbox as a card like this one, with an email to you if you want it. People who stop part-way are kept too, with the answers they gave.

  • Partial answers and drop-off by question, on every plan
  • CSV, JSON and PDF on every plan, Excel on Pro
  • Sheets, Slack, Notion, Airtable, HubSpot and webhooks on Pro
Maya OkaforSecurity vulnerability report · just nowNew
Your name or handle
Their answer, in their own words
Your email
maya@northstar.co
Would you like to be credited when we publish a fix?
Yes
Summary of the issue
Their answer, in their own words
What kind of issue is it?
Cross-site scripting
Affected URL or endpoint
northstar.co

and 7 more answers

From template to live form

Three steps, a couple of minutes

  1. Use this template1Make it your own copyIt becomes a draft in your account. Nothing you change touches the original.
  2. Reword, reorder, re-theme2Change anythingQuestions, pages, logic, theme and logo. It is an ordinary form from here on.
  3. formkit.app/you/security-vulnerability-report3Publish and shareYour own link, a QR code or an embed. Every answer lands in one inbox.
Make more of it

What this form can also do

Questions about this template

Who can see the reports?

Only the people you give access to the form. Keep it to the security team, and turn on two-factor sign-in for them.

Can it be password-protected?

Yes, but most disclosure forms are left open so anyone can report. Proof-of-concept files are kept with the response, not shared.

Will the AI reply say anything about the fix?

It is told not to. It thanks the reporter and explains your policy, and on this template every reply waits for a person to approve it.

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