Is an electronic attestation legally valid?

Yes. Electronic signatures satisfy federal ESIGN requirements (15 U.S.C. §7001) and state UETA rules in most jurisdictions; ensure intent, consent, attribution, and retention are demonstrable.

Do I need a QSA for every merchant level?

Not always. Level 1 merchants generally require a ROC by a QSA; lower levels may use a Self-Assessment Questionnaire (SAQ). Check card-brand and acquirer rules.

Can signatures be notarized remotely?

Many states permit Remote Online Notarization (RON) with identity proofing and audio‑video recording; verify the notary rules in your state before relying on RON.

What evidence should I retain after an assessment?

Keep configuration exports, scan reports, logs, and signed attestations for the retention period required by your acquirer or regulator; federal standards like IRC §6501(a) may apply for financial records.

How do I correct errors discovered after signing?

Document the error, create a corrected version with a revision date, obtain fresh signatures or a signed amendment, and retain both versions for audit trails and chain-of-custody.

What authentication strength is recommended for signers?

Use at least email plus a one-time code (SMS) for remote signers; require stronger multi-factor authentication for privileged or officer-level attestations.

Electronic Signature
Templates
Miscellaneous
Compliance PCI Document

Compliance PCI Document

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

PCI COMPLIANCE AGREEMENT AND ATTESTATION

This PCI Compliance Agreement and Attestation ("Agreement") is entered into as of Effective Date:

Client Name: Service Provider Name:

Client Address Service Provider Address

RECITALS

WHEREAS, Client operates systems that store, process, or transmit payment card data and requires validation of compliance with applicable Payment Card Industry Data Security Standard (PCI DSS) requirements; and

WHEREAS, Service Provider is engaged to perform assessments, scans, remediation support, and attestations necessary for Client to demonstrate and maintain PCI DSS compliance for the specified environment identified as Compliance Scope:

WHEREAS, the parties desire to set forth the scope, deliverables, payment terms, and legal obligations of the engagement in this Agreement.

SCOPE OF WORK

Detailed Scope of Work

Deliverables to be provided by Service Provider (select all that apply):

Report on Compliance (ROC)

Self-Assessment Questionnaire (SAQ) completion and guidance

External ASV scanning and report

Targeted penetration test and remediation validation

PAYMENT TERMS

Total Fee for Services Payment Schedule and Milestones Late Payment Fee

If invoices are not paid within the agreed terms, a late fee as specified above will apply and may accrue monthly. Client remains responsible for collection costs, including reasonable attorneys' fees.

TERM AND TERMINATION

Term Commencement Date: Term Expiration Date:

Termination Notice Period (days)

Either party may terminate this Agreement for material breach by the other party if such breach remains uncured after written notice and the expiration of the notice period specified above. Termination does not relieve Client of payment obligations for services performed through the effective date of termination or for any non-cancellable commitments incurred by Service Provider on Client's behalf.

CONFIDENTIALITY

Each party shall maintain the confidentiality of Confidential Information disclosed by the other party. "Confidential Information" includes non-public technical, security, and business information, including cardholder data environment details, scan results, and remediation plans. Service Provider shall only access and use Confidential Information as necessary to perform the services and shall implement reasonable administrative, technical and physical safeguards consistent with PCI DSS requirements to protect such information.

Notwithstanding the foregoing, Service Provider may disclose Confidential Information to the extent required by law or to qualified subcontractors engaged to perform work under this Agreement, provided that such subcontractors are bound by confidentiality obligations no less protective than those set forth herein.

COMPLIANCE ATTESTATION; SECURITY INCIDENTS

Service Provider attests that assessments, attestations, and reports will be performed in accordance with PCI DSS version: and that the assessment type is:

Service Provider shall notify Client without undue delay, and in any event within hours of becoming aware of any security incident or suspected compromise affecting the cardholder data environment. Notices shall describe the nature of the incident, actions taken to mitigate and contain, and recommended next steps.

ASV Scan Frequency

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , excluding its conflict of laws rules. Venue for any disputes arising under or relating to this Agreement shall be the state or federal courts located within that state.

ENTIRE AGREEMENT

This Agreement, including any exhibits or statements of work incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements, proposals, or representations, whether written or oral. Any amendment to this Agreement must be in writing and signed by authorized representatives of both parties.

MISCELLANEOUS PROVISIONS

Independent Contractor: Service Provider performs services as an independent contractor. Nothing in this Agreement creates an employment relationship, partnership, joint venture, or agency between the parties.

Subcontracting: Service Provider may engage subcontractors provided that Service Provider remains responsible for performance and compliance with this Agreement.

Client

Party Label:

By:

Date:

Service Provider

Party Label:

By:

Date:

What the Compliance PCI Document Is

A Compliance PCI Document is a formal record used to demonstrate an organization’s adherence to Payment Card Industry Data Security Standard (PCI DSS) controls and processes. It typically consolidates scope definitions, network and data-flow diagrams, control descriptions, evidence of implemented security measures, vulnerability-scan results, remediation plans, and an assessor’s attestation where applicable. Organizations use this documentation to satisfy card brand and acquiring bank requirements, support internal risk reviews, and provide auditors or Qualified Security Assessors (QSAs) with a complete view of cardholder data protections and compensating controls.

Why a Clear PCI Compliance Record Matters

A complete Compliance PCI Document provides an auditable snapshot of your cardholder data environment, helps demonstrate compliance to acquirers and card brands, and supports incident response and remediation tracking. Accurate documentation reduces ambiguity during assessments and can limit liability after an incident.

Who Prepares and Relies on This Document

The document is also sent to QSAs, acquiring banks, and internal auditors to validate compliance and guide remediation work.

Merchants and eCommerce teams responsible for card acceptance and POS operations that must prove control alignment to acquirers and card brands.
Payment processors, gateways, and service providers that host or transmit cardholder data and need to document segmentation and controls.
Internal security, compliance, and IT operations teams that manage scope, remediation, scans, and evidence collection during assessments.

Essential Components to Include

A professional Compliance PCI Document groups technical, procedural, and attestation elements so assessors can verify scope and controls quickly.

Scope Statement

Clear boundary describing systems, networks, cloud services, and third-party processors that store, process, or transmit cardholder data.

Data-Flow Diagram

Diagram showing where PAN and PAN-related data enter, move, and exit the environment, including segmentation and tokenization points.

Control Descriptions

Narrative of implemented controls: segmentation, firewalls, encryption, access control, logging, and monitoring with references to evidence.

Scan & Test Results

External ASV scans and internal vulnerability scans with dates, findings, and remediation status for each issue.

Remediation Plan

Action log with owners, priority, estimated completion, and verification steps for each vulnerability or control gap.

Attestation & Evidence

Signed attestation of compliance (AOC) or QSA Report on Compliance (ROC) and supporting artifacts (configs, logs, screenshots).

Required Data Elements at a Glance

Cardholder Data: PAN, expiration, service code

Merchant ID: MID, acquirer details

Scope Notes: Systems included/excluded

Encryption Standard: TLS 1.2/1.3

Assessment Date: MM/DD/YYYY

Attestation: Signed AOC or ROC

How to Complete the Compliance PCI Document

Follow a consistent sequence to identify scope, collect evidence, and finalize attestation so reviewers can validate compliance efficiently.

01

Define scope: Identify all systems that store, process, or transmit PAN data.
02

Collect evidence: Gather configs, logs, ASV scans, and system screenshots.
03

Document controls: Describe implemented technical and administrative controls.
04

Finalize attestation: Complete AOC/ROC and obtain required signatures.

Customizing the Document Online

Configure templates and fields to match your assessment type and automate evidence collection where possible.

Field	Configuration
Template Type	Select ROC, SAQ, or AOC template
Conditional Fields	Show fields only for included systems
Authentication	Require 2FA or SMS code for signers
Evidence Attach	Allow PDF, DOCX, and scan uploads

Where to Submit or Send the Completed Document

Route the final Compliance PCI Document to parties who require validation or who will act on findings.

Acquiring Bank: Submit AOC/ROC to your acquirer for merchant validation and underwriting.
Card Brands: Provide required attestations or upload per card-brand portal instructions.
Qualified Security Assessor: Give QSAs access to evidence for independent validation and reporting.
Internal Security: Share remediation plans and evidence with IT and GRC teams.

Digital Signing and File Format Needs

Ensure the platform offers tamper-evident signed PDFs, records retention, and the ability to attach supporting artifacts when submitting to banks or QSAs.

Supported Formats: PDF, DOCX, HTML
Authentication: Email link, SMS code, or stronger 2FA
Audit Trail: Timestamps, IPs, and action history

Typical Timelines and Recurring Requirements

PCI validation includes recurring scans and assessments; schedule these activities to avoid gaps that could affect compliance status.

Annual Assessment:

Complete ROC or applicable SAQ annually to meet card-brand expectations.

Quarterly ASV Scans:

Run and submit external vulnerability scans at least quarterly via an Approved Scanning Vendor.

Remediation Windows:

Address critical findings immediately; track planned dates and verification evidence.

Ongoing Logging:

Maintain centralized logging and monitoring continuously for incident detection.

Change Reviews:

Re-evaluate scope after infrastructure or vendor changes before next assessment.

Common Pitfalls to Avoid

Failing to define scope precisely, which causes missed systems and gaps in assessment coverage.
Relying on screenshots alone instead of retaining raw logs and configuration exports as evidence.
Delaying remediation until after assessment completion, increasing risk of failing an attestation.
Using inconsistent dates and signer names which creates discrepancies during acquirer or QSA review.

Consequences of Incomplete or Incorrect Documentation

Fines: Card-brand or acquirer fines

Breach Liability: Potential financial exposure after a data loss

Processing Suspension: Temporary loss of card acceptance privileges

Higher Fees: Increased processing or monitoring fees

Reputational Harm: Customer and partner trust erosion

Longer Remediation: Extended oversight and repeated assessments

Real-World Examples of Digital Compliance Workflows

Organizations across industries use digital signatures and centralized evidence collection to streamline PCI documentation and assessments.

Martin Properties — Tim Martin, Founder

We process and execute forms online with 100% compliance and built-in security.

Mobile and offline signing supported for field teams.
The digital workflow let us gather attestation signatures and evidence faster, reducing manual handoffs and missing artifacts during assessments.

Fertility Centers of Illinois — John Butler, Founder

The team praised responsive support and a reliable API for integrations.

API integration simplified evidence uploads.
Centralized signing and attachments reduced assessor follow-up and improved the completeness of our PCI evidence package.

eSignature Vendor Pricing and Capability Snapshot

Compare starting prices and basic capabilities for common eSignature vendors; signNow is listed first per comparative convention.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day trial	Varies	Varies	Varies	Varies
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently Asked Questions About PCI Compliance Documents

Answers to common procedural and legal questions about preparing, signing, and retaining a Compliance PCI Document.

Need help? Contact support

Is an electronic attestation legally valid?
Yes. Electronic signatures satisfy federal ESIGN requirements (15 U.S.C. §7001) and state UETA rules in most jurisdictions; ensure intent, consent, attribution, and retention are demonstrable.
Do I need a QSA for every merchant level?
Not always. Level 1 merchants generally require a ROC by a QSA; lower levels may use a Self-Assessment Questionnaire (SAQ). Check card-brand and acquirer rules.
Can signatures be notarized remotely?
Many states permit Remote Online Notarization (RON) with identity proofing and audio‑video recording; verify the notary rules in your state before relying on RON.
What evidence should I retain after an assessment?
Keep configuration exports, scan reports, logs, and signed attestations for the retention period required by your acquirer or regulator; federal standards like IRC §6501(a) may apply for financial records.
How do I correct errors discovered after signing?
Document the error, create a corrected version with a revision date, obtain fresh signatures or a signed amendment, and retain both versions for audit trails and chain-of-custody.
What authentication strength is recommended for signers?
Use at least email plus a one-time code (SMS) for remote signers; require stronger multi-factor authentication for privileged or officer-level attestations.

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