Information Security Incidents Report Form

Departments and schools should use this form when reporting a computer security incident that involves sensitive university information. For help in completing this form contact the Information Security Office at infosec@wustl.edu.

1. Type of Incident

2. Description of Incident

3. Contact Information

4. IT Contact Information

5. Date and Time Incident Occurred

6. Physical Location of Incident

7. Information Assessment

8. Information on Affected System

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