Lost Mobile Device Security Breach Report
Reporter Name
Department
Email
Phone
Device Type (e.g. Phone, Tablet)
Device Model
Operating System
Device Serial/ID Number
Date/Time Lost
Location Lost
Describe How Device Was Lost
Security Measures Enabled (e.g. PIN, encryption, MDM)
Type of Data on Device (e.g. company email, customer info)
Actions Already Taken (e.g. remote wipe, IT notified)
Additional Information