NAM CYBER COVER - brought to you by the National Association of Manufacturers Request a Cyber Risk Assessment & Quote GET YOUR COMPLIMENTARY CYBER RISK ASSESSMENT AND QUOTE ; Program brought to you by: Name(Required) First Last Title(Required) Company(Required) Work Email(Required) Company Website(Required) Number of Employees(Required)1-2526-5051-250251-1,0001,000+Annual Revenue(Required)Would you like to receive a Quote?(Required) Yes No Please complete the questions below to receive a quoteCompany Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Estimated Annual Revenue - next 12 months(Required)Gross Profit / Net Revenue expected over next 12 months(Required) Within the last 3 years has the company suffered any cyber incidents resulting in a claim in excess of $25,000?(Required) Yes No Is the company aware of any circumstances that could give rise to a claim under this insurance policy?(Required) Yes No Does the company implement encryption on laptop computers, desktop computers, and other portable media devices?(Required) Yes No Sometimes Does the company collect, process, store, transmit, or have access to any Payment Card Information (PCI), Personally Identifiable Information (PII), or Protected Health Information (PHI) other than employees of the company?(Required) Yes No Does the company maintain at least weekly backups of all sensitive or otherwise critical data and all critical business systems offline or on a separate network?(Required) Yes No N/A Does the company require a secondary means of communication to validate the authenticity of funds transfers(ACH, wire, etc.) requests before processing a request in excess of $25,000?(Required) Yes No N/A Within the last 3 years has the company been subject to any complaints concerning the content of its website, advertising materials, social media, or other publications?(Required) Yes No N/A Does the company enforce procedures to remove content (including third party content) that may infringe or violate any intellectual property or privacy right?(Required) Yes No N/A Do you enforce Multi-factor Authentication (MFA) for Email?(Required) Yes No Do you enforce Multi-factor Authentication (MFA) for Virtual Private Network (VPN), Remote Desktop Protocol (RDP), RDWeb, RD Gateway, or other remote access?(Required) Yes No N/A Do you enforce Multi-factor Authentication (MFA) for Network/cloud administration or other privileged user accounts?(Required) Yes No On Administrative Accounts and All Cloud Services Where Supported GET YOUR COMPLIMENTARY CYBER RISK ASSESSMENT ; OR GET YOUR COMPLIMENTARY CYBER RISK ASSESSMENT AND QUOTE ; Program brought to you by: