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 Cybersecurity Incident Form

Cybersecurity Incident

Step 1 of 5

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  • Contact Information

  • Name & Contact of User (Student, faculty, staff, etc. if different from above)

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  • Location of Compromised Machine

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  • Description of Compromised Machine

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  • Incident Details

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  • Approximate or precise
  • Please enter a number greater than or equal to 1.
    Approximately how long it took to mitigate the issue
  • Please enter a number greater than or equal to 1.
    Approximate hourly pay received by everyone who completed the work
  • Please enter a number greater than or equal to 1.
    Approximate or precise
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  • Additional Information

    (E.g. Audits, Events, or Connections)
  • Type of Attack

  • Source of Incident

  • Available Logs

  • (If possible burn all logs to a CD or best offline storage to be kept for further review if needed)
  • This field is for validation purposes and should be left unchanged.
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