Security Exception Request & Approval Form
Captures enough information at request time that an approver can decide without a meeting, which is what actually keeps the process moving.
Available soon
- Format
- Word
- Size
- 59 KB
- Length
- 17 pages
- Version
- 1.1
- Updated
What's inside
- How to use this form
- The form
- Worked example — a completed request
- Related documents
- Adapting this template
- Framework references
- Definitions
Preview
The document from section 1, as you will receive it. Highlighted [[text]] is for you to replace; shaded guidance boxes are for you to delete before approval. The cover and document control pages are in the file.
How to use this form
Use this form to ask for a security exception: permission, for a limited time, not to meet a rule in one of [[Organisation Name]]'s security policies or standards. One form covers one gap. It is designed so that the approver can decide from the form alone, without a meeting.
The rules are in the Security Exception & Waiver Standard; the steps are in the Exception Lifecycle Operating Procedure, which governs this form. A request is scored with the Exception Risk Scoring & Expiry Model and recorded in the Security Exception Register.
Part | Who completes it | When |
|---|---|---|
A — Request | Requester [[e.g. system owner, project lead]], with the risk owner | Before the rule is breached, or as soon as the gap is found |
B — Risk assessment | Information security [[e.g. Head of Information Security]] (EX-04) | On receipt of a complete request |
C — Decision and approval | The approver(s) for the band (EX-05) | Within the band's decision time |
D — Renewal history | Information security | At each renewal (EX-08) |
E — Closure | Requester or control owner; verified by information security | When the gap is closed or the exception ends (EX-13) |
Steps
- The requester completes Part A, gets the risk owner's signature in A8, attaches the evidence for each compensating control, and sends the form to information security.
- Information security checks that the request is complete and allowed (B1). An incomplete request is returned within [[2 working days]], saying what is missing.
- Information security scores the request (B2), enters it in the Security Exception Register with a reference, and sends it to the approver(s) for the band.
- The approver decides within the band's decision time and signs Part C. The approver may shorten the period or add conditions.
- Information security records the decision and expiry date in the register and sets the reminder for 30 days before expiry (EX-09). The requester receives a copy.
- Before expiry, the requester either closes the exception (Part E) or asks for a renewal on a fresh copy of this form (Part D).
Guidance — delete before approval
Keep the field names in step with the columns of the Security Exception Register, so Part B and Part C can be copied across without retyping. If you change a field here, change the register too.
If your organisation runs requests through a service desk or workflow tool, rebuild this form's fields there rather than attaching a Word file to a ticket. Keep the three-part structure: request, independent assessment, decision.
Before you submit — the requester's checklist
- The rule not met is named by document and clause, and the gap is described precisely (A3).
- The business reason and the effect of a refusal are stated in terms the approver can weigh: customers, money, deadlines (A4).
- At least two alternatives are listed, with the reason each was not chosen (A5).
- There is an end date and a plan to close the gap, with an owner (A6).
- Each compensating control has an owner and dated evidence that it works (A7). A control that is planned, or has not been tested, is listed, but it will not lower the score (EX-07).
- The risk owner has signed (A8).
Field guidance
Field | What a good answer looks like | Common reason a request is returned |
|---|---|---|
A2 Reachable from | Who can reach the weakness today: 'internet', 'the office network', 'three administrators'. | Left blank. An unknown answer is treated as 'internet' and raises the score. |
A3 What is actually in place | One or two sentences on exactly what is not done: 'password only, no multi-factor sign-in, for all 38 users'. | 'Non-compliant with policy' — the approver cannot see the gap. |
A4 What happens if refused | The concrete effect: service stopped, revenue, contract or legal duty, for how long. | 'The business needs it' — no basis for weighing the risk. |
A6 End date | A date driven by the remediation plan. It will be capped by the band: longest Low 365 · Medium 180 · High 90 · Critical 30 days. | No end date, or 'until the system is replaced' with no date. |
A7 How tested, and result | What was done to show the control works, when, by whom, and the result: 'sign-in from outside refused on 2 October, screenshot attached'. | 'Configured' or 'in place'. Configuration is not a test. |
B2 Reason | One line per rating, pointing to the anchor in the model. | — |
The form
Guidance — delete before approval
Replace the placeholders in the form with blank space when you adopt it, or leave them as prompts for the requester. Keep the band table in Part C identical to the Security Exception & Waiver Standard.
Part A — Request
Completed by the requester, with the risk owner. Send to information security with the evidence for Part A7 attached.
A1 Requester and ownership | |||
Requester name and role | [[Name, role]] | Date submitted | [[YYYY-MM-DD]] |
Risk owner the accountable executive for the affected service | [[Name, role]] | Register reference given by information security | [[EX-YYYY-nnn]] |
Control owner who runs the control not being met | [[Name, role]] | New or renewal? if renewal, see Part D | [[New / Renewal of EX-…]] |
A2 What is affected | |||
Systems or services names and asset IDs | [[System names, asset IDs]] | ||
Data type, volume, classification | [[e.g. customer personal data, about n records, Confidential]] | ||
Users and locations who uses it | [[e.g. all staff; finance team; one site]] | ||
Reachable from internet, partners, all staff, administrators only | [[Internet / partner networks / internal network / administrators only]] | ||
Service provider involved? name, and who configures it | [[No / Yes — provider name]] | ||
A3 The rule not met | |||
Policy or standard document ID and title | [[Document ID, title]] | Clause or rule section or rule number | [[e.g. section 5.3]] |
What the rule requires in your own words | [[What the rule requires]] | ||
What is actually in place the gap, precisely | [[What is done instead, and what is not done]] | ||
A4 Reason and business justification | |||
Why the rule cannot be met now | [[Technical, contractual or business reason]] | ||
What happens if refused service, customers, cost, legal | [[Effect on the business if the exception is refused]] | ||
Cost and effort to comply now | [[Estimate, and whether it is budgeted]] | ||
A5 Alternatives considered | at least two, and why each was not chosen | |||
Alternative 1 | [[What it is — why it was not chosen]] | ||
Alternative 2 | [[What it is — why it was not chosen]] | ||
Alternative 3 optional | [[What it is — why it was not chosen]] | ||
A6 Duration and remediation plan | |||
Start date | [[YYYY-MM-DD, or 'on approval']] | End date requested capped by band — see Part C | [[YYYY-MM-DD]] |
How the gap will be closed steps and dates | [[Remediation steps, with target dates]] | ||
Remediation owner | [[Name, role]] | ||
A7 Compensating controls | what reduces the risk while the gap is open, and the proof it works | |||
Control 1 what it is | [[Control]] | Owner | [[Name]] |
How tested, and result | [[Test performed and result]] | Evidence and date | [[Reference, YYYY-MM-DD]] |
Control 2 what it is | [[Control]] | Owner | [[Name]] |
How tested, and result | [[Test performed and result]] | Evidence and date | [[Reference, YYYY-MM-DD]] |
A8 Declaration | |||
Requester the information above is complete and accurate | [[Signature, date]] | Risk owner I own this risk while the exception is open | [[Signature, date]] |
Part B — Risk assessment
Completed by information security (EX-04), using the Exception Risk Scoring & Expiry Model. The requester does not complete this part.
B1 Checks before scoring | |||
Request complete? incomplete requests are returned | [[Yes — YYYY-MM-DD / Returned on YYYY-MM-DD]] | Allowed? not an item that may never be excepted (EX-02) | [[Yes / No — refuse]] |
Related exceptions on the same system or owner | [[References, or none]] | ||
B2 Score | |||
Impact 1 Minor · 2 Moderate · 3 Major · 4 Severe | [[1–4]] | Reason | [[Why this level]] |
Likelihood before controls 1 Unlikely · 2 Possible · 3 Likely · 4 Almost certain | [[1–4]] | Reason | [[Why this level]] |
Effective, tested control? EX-07: lowers likelihood one step, never below 1 | [[Yes — which / No]] | Evidence checked | [[Reference, date]] |
Likelihood after controls | [[1–4]] | Score impact × likelihood after | [[1–16]] |
Band Low 1–3 · Medium 4–6 · High 8–9 · Critical 12–16 | [[Low / Medium / High / Critical]] | Must sign from the table in Part C | [[Approver(s) for the band]] |
Longest duration days: Low 365 · Medium 180 · High 90 · Critical 30 | [[n days]] | Decision due by band's decision time: working days from a complete request | [[YYYY-MM-DD]] |
Recommendation approve, approve with conditions, or refuse — and why | [[Recommendation to the approver]] | ||
Assessed by | [[Name, role]] | Date | [[YYYY-MM-DD]] |
Part C — Decision and approval
The band in Part B sets who must sign (EX-05), the latest expiry date (EX-06) and how quickly the decision is due. The approver may shorten the period or add conditions, never approve outside the band.
Band | Score | Who must sign | Longest it may run | Decide within (working days from a complete request) | Renewals |
|---|---|---|---|---|---|
Low | 1–3 | Control owner | 365 days | 5 | 2 |
Medium | 4–6 | Head of Information Security | 180 days | 10 | 2 |
High | 8–9 | Head of Information Security and the accountable executive (risk owner) | 90 days | 10 | 1 |
Critical | 12–16 | The board, or a board risk committee it has delegated this to; in a two-tier structure, the management board; where there is no board, such as in an owner-managed company, executive management | 30 days | 5 | 1 |
C1 Decision | |||
Decision | [[Approved / Approved with conditions / Refused]] | ||
Conditions | [[Conditions attached, or none]] | ||
Approved from | [[YYYY-MM-DD]] | Expires on no later than approval date + band's longest duration | [[YYYY-MM-DD]] |
Reason if refused | [[Reason, and what the requester must do instead]] | ||
C2 Signatures | |||
Approver the band's approver | [[Name, role]] | Signature and date | [[Signature, date]] |
Second approver High band: the accountable executive (risk owner) | [[Name, role — or not required]] | Signature and date | [[Signature, date]] |
Critical band executive management decision | [[Body and meeting — or not required]] | Minute or decision reference | [[Reference]] |
Recorded in the register by | [[Name, date]] | Expiry reminder set for 30 days before expiry (EX-09) | [[YYYY-MM-DD]] |
Part D — Renewal history
A renewal is a new decision on a new score (EX-08), recorded here and in Parts B and C of a fresh copy of this form. Renewals allowed by the band's approver: Low 2, Medium 2, High 1, Critical 1. A renewal beyond the band's limit goes to the next approval level up (EX-08).
No. | Decision date | New score and band | Progress since the last decision | Approved by | New expiry |
|---|---|---|---|---|---|
1 | [[YYYY-MM-DD]] | [[Score, band]] | [[What was done; why more time is needed]] | [[Name, role]] | [[YYYY-MM-DD]] |
2 | [[YYYY-MM-DD]] | [[Score, band]] | [[What was done; why more time is needed]] | [[Name, role]] | [[YYYY-MM-DD]] |
Beyond the band's limit | [[YYYY-MM-DD]] | [[Score, band]] | [[Why the gap is still open — reported as chronic]] | [[Next approval level up]] | [[YYYY-MM-DD]] |
Part E — Closure
Completed when the exception ends (EX-13). Information security confirms the evidence before the register entry is closed.
E1 Closure | |||
Why it is closing | [[Rule now met / system retired / requirement formally changed / refused at renewal]] | ||
How the rule is now met | [[What changed]] | ||
Evidence | [[Reference, date]] | Compensating controls kept or removed, and when | [[Kept / removed on YYYY-MM-DD]] |
Closed before expiry? if not, days expired (EX-10) | [[Yes / No — n days]] | Register entry closed | [[YYYY-MM-DD]] |
Verified by information security | [[Name, role]] | Signature and date | [[Signature, date]] |
Worked example — a completed request
This example is Example 3 of the Exception Risk Scoring & Expiry Model: multi-factor sign-in cannot be enforced on a software service holding customer data. The organisation, names and dates are illustrative. Part D and Part E are not yet used.
Guidance — delete before approval
Note how the approver can decide from the form alone: the gap, the business case, the alternatives, a tested control and a dated plan are all on it. The first version of this request offered only a password policy (control 2); scored without a tested control it was Critical (12), and information security returned it for a real control before it went to executive management.
Delete this worked example from your adopted form.
Part A — Request
Completed by the requester, with the risk owner. Send to information security with the evidence for Part A7 attached.
A1 Requester and ownership — EXAMPLE | |||
Requester name and role | Amira Patel, Sales Operations Manager | Date submitted | 2026-10-05 |
Risk owner the accountable executive for the affected service | Tom Reilly, Sales Director | Register reference given by information security | EX-2026-014 |
Control owner who runs the control not being met | Jon Evans, IT Operations Manager | New or renewal? if renewal, see Part D | New |
A2 What is affected — EXAMPLE | |||
Systems or services names and asset IDs | Customer relationship management service (software as a service), asset ID SAAS-007 | ||
Data type, volume, classification | About 12,000 customer contact records and sales notes. Personal data; classified Confidential | ||
Users and locations who uses it | 38 sales and customer service staff | ||
Reachable from internet, partners, all staff, administrators only | Internet: the sign-in page is public | ||
Service provider involved? name, and who configures it | Yes — the service's vendor hosts it; configured by Sales Operations | ||
A3 The rule not met — EXAMPLE | |||
Policy or standard document ID and title | ISMS-STD-004 Access Control Standard | Clause or rule section or rule number | Section 5.3 |
What the rule requires in your own words | Multi-factor sign-in for every internet-facing service that holds personal data. | ||
What is actually in place the gap, precisely | Password only. The current subscription does not offer multi-factor sign-in or single sign-on. | ||
A4 Reason and business justification — EXAMPLE | |||
Why the rule cannot be met now | Only the vendor's higher subscription tier supports single sign-on. The upgrade needs a budget change and a contract amendment, which take about ten weeks. | ||
What happens if refused service, customers, cost, legal | Sales would lose access to customer history for up to ten weeks; about 60 quotes a week are prepared from it. | ||
Cost and effort to comply now | Upgrade: 38 users at the higher tier, about [[amount]] a year more. Approved in the Q4 budget on 1 October. | ||
A5 Alternatives considered | at least two, and why each was not chosen — EXAMPLE | |||
Alternative 1 | Move to another service now — rejected: data migration and retraining take longer than the upgrade. | ||
Alternative 2 | Suspend access until upgraded — rejected: stops quoting for ten weeks. | ||
Alternative 3 optional | Upgrade immediately mid-contract — not offered by the vendor before the contract anniversary. | ||
A6 Duration and remediation plan — EXAMPLE | |||
Start date | On approval | End date requested capped by band — see Part C | 2027-01-31 |
How the gap will be closed steps and dates | Contract amendment signed by 13 November; single sign-on configured and tested by 2026-12-18; this exception closed the same week. | ||
Remediation owner | Amira Patel | ||
A7 Compensating controls | what reduces the risk while the gap is open, and the proof it works — EXAMPLE | |||
Control 1 what it is | Sign-in allowed only from the office and VPN addresses (the service's own address restriction setting) | Owner | Jon Evans |
How tested, and result | Sign-in attempt from a mobile network on 2026-10-02 was refused; attempt from the office succeeded. Screenshots attached | Evidence and date | EX-2026-014-E1, 2026-10-02 |
Control 2 what it is | Password policy of 14 characters and a staff reminder | Owner | Amira Patel |
How tested, and result | Not tested — a policy setting, not a control on how the gap is used | Evidence and date | — |
A8 Declaration — EXAMPLE | |||
Requester the information above is complete and accurate | A. Patel, 2026-10-05 | Risk owner I own this risk while the exception is open | T. Reilly, 2026-10-05 |
Part B — Risk assessment
Completed by information security (EX-04), using the Exception Risk Scoring & Expiry Model. The requester does not complete this part.
B1 Checks before scoring — EXAMPLE | |||
Request complete? incomplete requests are returned | Yes — 2026-10-05 | Allowed? not an item that may never be excepted (EX-02) | Yes — not listed in EX-02 |
Related exceptions on the same system or owner | None on this system | ||
B2 Score — EXAMPLE | |||
Impact 1 Minor · 2 Moderate · 3 Major · 4 Severe | 3 | Reason | Customer personal data at scale; notifiable if misused (Major). |
Likelihood before controls 1 Unlikely · 2 Possible · 3 Likely · 4 Almost certain | 4 | Reason | Public sign-in page; password-guessing against such services is constant (Almost certain). |
Effective, tested control? EX-07: lowers likelihood one step, never below 1 | Yes — control 1 | Evidence checked | EX-2026-014-E1: refused sign-in, dated 5 days before assessment |
Likelihood after controls | 3 | Score impact × likelihood after | 3 × 3 = 9 |
Band Low 1–3 · Medium 4–6 · High 8–9 · Critical 12–16 | High | Must sign from the table in Part C | Head of Information Security and the accountable executive (risk owner) |
Longest duration days: Low 365 · Medium 180 · High 90 · Critical 30 | 90 days | Decision due by band's decision time: working days from a complete request | 2026-10-19 |
Recommendation approve, approve with conditions, or refuse — and why | Approve until 2027-01-10, not the requested 2027-01-31: the band allows 90 days. Condition: the address restriction is checked at each monthly register review. Note: with control 2 alone the score would be 12 (Critical). | ||
Assessed by | Priya Shah, Head of Information Security | Date | 2026-10-07 |
Part C — Decision and approval
The band in Part B sets who must sign (EX-05), the latest expiry date (EX-06) and how quickly the decision is due. The approver may shorten the period or add conditions, never approve outside the band.
Band | Score | Who must sign | Longest it may run | Decide within (working days from a complete request) | Renewals |
|---|---|---|---|---|---|
Low | 1–3 | Control owner | 365 days | 5 | 2 |
Medium | 4–6 | Head of Information Security | 180 days | 10 | 2 |
High | 8–9 | Head of Information Security and the accountable executive (risk owner) | 90 days | 10 | 1 |
Critical | 12–16 | The board, or a board risk committee it has delegated this to; in a two-tier structure, the management board; where there is no board, such as in an owner-managed company, executive management | 30 days | 5 | 1 |
C1 Decision — EXAMPLE | |||
Decision | Approved with conditions | ||
Conditions | The address restriction stays in place and is re-tested monthly; any change to it is reported to Information Security the same day. | ||
Approved from | 2026-10-12 | Expires on no later than approval date + band's longest duration | 2027-01-10 |
Reason if refused | — | ||
C2 Signatures — EXAMPLE | |||
Approver the band's approver | Priya Shah, Head of Information Security | Signature and date | P. Shah, 2026-10-12 |
Second approver High band: the accountable executive (risk owner) | Tom Reilly, Sales Director (accountable executive, risk owner) | Signature and date | T. Reilly, 2026-10-12 |
Critical band executive management decision | Not required (High band) | Minute or decision reference | — |
Recorded in the register by | Priya Shah, 2026-10-12 | Expiry reminder set for 30 days before expiry (EX-09) | 2026-12-11 |
Related documents
Document | Relationship |
|---|---|
Security Exception & Waiver Standard | The rules this form applies: when an exception is needed and allowed, approval by band, duration, renewals and closure (EX-01 to EX-13) |
Exception Lifecycle Operating Procedure | The procedure that governs this form: the steps from request to closure |
Exception Risk Scoring & Expiry Model | How Part B is scored, and what each band sets |
Security Exception Register | Where every request, decision, expiry and closure is recorded |
SoD Conflict Review & Compensating Control Procedure | Uses this form to record segregation-of-duties conflicts that cannot be separated |
Adapting this template
Guidance — delete before approval
Small organisation: keep Parts A to C; you may merge Parts D and E into the register. Name real people for each band in the Security Exception & Waiver Standard. Where the approver for a band is also the requester — common when the IT manager holds the information security role — name who signs instead, so nobody approves their own exception.
Regulated entity (NIS2, DORA): DORA's technical standards expect ICT security policies to record exceptions from their implementation and to keep resilience assured while they exist. This form and the register are that record. Add a field in A2 for whether the system supports a critical or important function, and keep completed forms for the period your regulator expects.
IT run by a service provider: require the provider to raise its exceptions on this form, with its own test evidence for A7. The provider completes Part A; Part B stays with your own information security role, and Part C with your own approvers.
Delete this section before approval.
Framework references
These references show where this document supports an external framework. They indicate relevance only and do not reproduce the text of any standard. Editions referenced: ISO/IEC 27001:2022 incl. Amd 1:2024; NIST CSF 2.0; Directive (EU) 2022/2555 (NIS2); Regulation (EU) 2022/2554 (DORA); Delegated Regulation (EU) 2024/1774.
Framework | Reference | Supported by |
|---|---|---|
ISO/IEC 27001:2022 | Annex A 5.36 — Compliance with policies, rules and standards for information security | Whole form: departures from policy requested, approved and recorded |
NIST CSF 2.0 | GV.RM-06 — “A standardized method for calculating, documenting, categorizing, and prioritizing cybersecurity risks is established and communicated” | Part B: the standard scoring method applied to each request |
NIST CSF 2.0 | ID.RA-06 — “Risk responses are chosen, prioritized, planned, tracked, and communicated” | Parts C to E: the decision, its tracking, renewal and closure |
NIST CSF 2.0 | ID.RA-07 — “Changes and exceptions are managed, assessed for risk impact, recorded, and tracked” | Whole form: each exception assessed for risk (Part B), recorded and tracked (Parts C to E) |
DORA — Delegated Regulation (EU) 2024/1774 | Article 2(2)(c)(ii) and (iii) — ICT security policies record exceptions from their implementation and keep resilience assured while exceptions exist | Whole form: exceptions recorded, with compensating controls (A7) |
Definitions
Term | Meaning in this form |
|---|---|
Band | The range the score falls in — Low (1–3), Medium (4–6), High (8–9), Critical (12–16) — which sets the approver, the longest duration, the decision time and the number of renewals. |
Compensating control | A measure that reduces the risk of the gap while it remains open. An effective, tested one lowers likelihood by one step (EX-07). |
Exception | An approved, time-limited decision that a rule in a policy or standard need not be met in a stated scope, with a named owner, compensating controls and an expiry date. |
Expiry date | The date the exception ends unless renewed: no later than the approval date plus the band's longest duration. |
Renewal | A new decision, on a new score, to extend an exception past its expiry date. |
Risk owner | The accountable business executive for the affected service, who owns the risk while the exception is open. |
Score | Impact multiplied by likelihood after compensating controls, each rated 1 to 4, as set out in the model. |
Tested | Shown to work by dated evidence taken after the control was put in place. |