Ransomware Incident Report

General Information

Date of Incident Reported By Department/Team

Incident Details

Date & Time Detected Systems Affected Description of Incident Ransomware Name (if known) Type of Data Affected

Impact Assessment

Number of Users Affected Business Functions Impacted Data Loss/Exfiltration Observed Yes No Unknown Other Impacts

Actions Taken

Immediate Response Steps Systems Isolated? Yes No Law Enforcement Notified? Yes No External Parties Informed

Further Comments / Notes