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<br />Part 2a. Scope Verification (continued) <br />Services that are provided by the service provider but were NOT INCLUDED in the scope of <br />the PCI DSS Assessment (check all that apply): <br />Name of service(s) not assessed:Not applicable. <br />Type of service(s) not assessed: <br />Hosting Provider:Managed Services (specify): <br />☐ Systems security services <br />☐ IT support <br />Payment Processing: <br />☐ POS / card present <br />☐ Internet / e-commerce <br />☐ MOTO / Call Center <br />☐ ATM <br />☐ Applications / software <br />☐ Hardware <br />☐ Infrastructure / Network <br />☐ Physical space (co-location) <br />☐ Storage <br />☐ Physical security <br />☐ Terminal Management System <br />☐ Other services (specify):☐ Other processing (specify): <br />☐ Web N/A N/A <br />☐ Security services <br />☐ 3-D Secure Hosting Provider <br />☐ Shared Hosting Provider <br />☐ Other Hosting (specify): <br />N/A <br />☐ Account Management <br />☐ Back-Office Services <br />☐ Billing Management <br />☐ Clearing and Settlement <br />☐ Network Provider <br />☐ Fraud and Chargeback <br />☐ Issuer Processing <br />☐ Loyalty Programs <br />☐ Merchant Services <br />☐ Payment Gateway/Switch <br />☐ Prepaid Services <br />☐ Records Management <br />☐ Tax/Government Payments <br />☐ Others (specify): N/A <br />Provide a brief explanation why any checked services <br />were not included in the assessment: <br />Not applicable. <br />PCI DSS v3.2.1 Attestation of Compliance for Onsite Assessments – Service Providers, Rev. 1.0 <br />© 2006-2018 PCI Security Standards Council, LLC. All Rights Reserved. <br />June 2018 <br />Page 3