Data breach report form—internal

The following Risk & Compliance precedent provides comprehensive and up to date legal information covering:

  • Data breach report form—internal

Data breach report form—internal

If you know or suspect a personal data breach has occurred, please:

  1. complete this form, and

  2. email or deliver it to the [insert, eg the Data Protection Officer], ensuring you mark your email or the form as urgent

Name and contact details of person notifying the actual or suspected breach[Insert name and contact details]
If you wish to submit an anonymous report, leave this section blank.
Dept/manager[Insert

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