Data Breach Notification Report
1. Organisation Details
Organisation Name
Contact Person
Email Address
Phone Number
2. Breach Description
Date Discovered
Date Occurred
Description of the Breach
How the Breach Was Discovered
Systems Affected
3. Impacted Data
Types of Personal Data Involved
Estimated Number of Affected Individuals
4. Individuals Notified
Notification Method
Date of Notification
5. Mitigation Measures
Immediate Actions Taken
Planned Future Actions
6. Additional Information
Other Relevant Details