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Incident and Event Reporting

1 Incident Details
2 Summary & Submit
Use this form to report an incident or event. Please fill in all required fields. Your report will be treated confidentially and forwarded to the responsible persons.

Incident

Describe the incident as precisely as possible. What happened? Which systems, data or persons are affected?

Date & Time

When was the incident discovered and when did it occur? If the exact time is unknown, please estimate.
Mo Tu We Th Fr Sa Su
Hrs
Min
Mo Tu We Th Fr Sa Su
If different from discovery date
Hrs
Min

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Type of Incident *

Select at least one matching incident type. This helps with correct classification and processing.
Please select
Datenträger (z.B. USB, DVD, ext. Festplatte, etc.) gestohlen
Datenträger (z.B. USB, DVD, ext. Festplatte, etc.) verloren
Einbruch in Räumlichkeiten des Unternehmens
Endgerät (z.B. Laptop, Smartphone, Tablett, etc.) gestohlen
Endgerät (z.B. Laptop, Smartphone, Tablett, etc.) verloren
Hackerangriff, Schadsoftware (Trojaner, Viren, Ransomware, etc.), Phishing
Nicht datenschutzgerechte Entsorgung von Materialien (z. B. Akten, Bild- oder Tonträger)
Personenbezogene Daten an falschen Empfänger gesendet
Postsendung ging verloren
Unbeabsichtigte Veröffentlichung
Unverschlüsselter E-Mail-Versand sensibler Daten (besondere Kategorien personenbezogener Daten (Art. 9 DS-GVO))

Additional Information

The following additional fields are relevant for the selected incident type(s).
Do you have any further information that could be relevant for processing?

Reporting Person

Please provide your name and optionally your contact details so we can reach out in case of questions.
Reporting Person
Please select
Clear selection
Employee
Service provider
Customer
Other
Recording Person
Please select
Clear selection
Employee
Service provider
Customer
Other

Immediate Actions

Indicate which of the following immediate actions have already been performed.

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