This form is for organisations that have experienced a personal data breach. Please do not include any of the personal data involved in the breach when completing this form - for example, do not provide the names of data subjects affected by the breach. If we need this information, we will ask for it later.
The information you provide must be accurate. You should give us as much detail as possible in this form. However, you can submit additional information afterwards by email.
Once you begin completing the form you will be unable to save it. Once you have completed the report, you will be able to view your answers. We'll then send you an email with a copy of your responses.
Questions marked with * are mandatory.
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