Information Security

Incident Report Form

Use this form to report Information Technology Security Incidents that involve State Government to the Enterprise Security Office. Please provide as much detail as possible as this will assist us with the initial assessment and investigation of the incident.

 * Indicates the information is required.

Incident Status:



Contact Information

Incident Description

Incident Description:





Date/Time of Incident Discovery

Additional Incident Information

Impact of Incident:





Criticality of Attack:



Sensitivity of Data: