Security Incident Report

Use this form to report Security Incidents.

This form is for reporting Data Leaks, Unattended Classified, Physical Breaches, Lost/Stolen HF Items, Encounters with Foreign Intelligence Entities, Unescorted Visitors, Insider Threat Behaviors, etc. The form is also used for cleared employees to self-report changes in status, foreign travel, arrests, and other mandated self-reports.

Whatever the case, input your name (Last Name, First Name), select your type of incident, provide as much detail as you can in the text box, and provide any supporting documentation you can provide.

Please provide your full name unless anonymity is absolutely necessary. The FSO and ISSM are the only people who can view responses to this form. However, this report is not otherwise protected.

***DO NOT INCLUDE ANY CLASSIFIED OR CUI INFORMATION IN THIS REPORT. If such information is necessary to make the report, please contact the FSO directly for instructions.***

 

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If anonymity is required, please put "Anonymous" in the Name field.

 

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Describe the Incident in as much detail as possible. Answer WHO, WHEN, WHERE, and WHAT happened. ***WARNING*** DO NOT PROVIDE ANY CLASSIFIED OR SENSITIVE INFORMATION IN THIS REPORT!

Click HERE for Required Data Elements for specific reports

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Supporting Documentation

This field is required

If possible, provide any supporting documentation. For example for a report of foreign travel, upload an itinerary.

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