Security Incident Report Form

Report incidents to the University's Information Technology Security and Policy Office via the form below. Reports should be made as soon as possible and no later than 24 hours from the time the incident is identified. Upon receipt of the report, the Information Technology Security and Policy Office will inform all appropriate University officials. Since the involvement of law enforcement in lost or stolen equipment is especially time-critical, lost or stolen electronic devices and media must also be reported directly to the UVa Police Department. If the incident did not occur in the Charlottesville-Albemarle area, it should be reported to the appropriate police jurisdiction instead.

Contact Information
Name*
UVa Computing ID (ex: mst3k) Do not have one
Email address (ex: mst3k@virginia.edu)*
Phone number
Incident Type*
What are you having a problem with? Potential unauthorized disclosure or alteration of University data not routinely made available to the general public, e.g., employee evaluations, or data the University is legally or contractually bound to protect, e.g., social security numbers, credit card numbers, certain research data, etc.
Loss or theft of electronic devices or media which store University data not routinely made available to the general public or data the University is legally or contractually bound to protect
Contact from the FBI, Secret Service or other law enforcement organizations regarding a University electronic device that may have been used to commit a computer crime
Incident Description*
Please describe the incident.

* indicates required information

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