Data Breach Incident Communication Report

Incident Summary

Date of Report Reported By Date/Time of Incident Location/Systems Affected

Incident Details

Description of Incident Type of Data Breached Number of Individuals Affected

Detection and Response

How Incident Was Detected Immediate Actions Taken

Stakeholder Communication

Notified Parties Communication Method(s) Summary of Notification Messages

Next Steps & Recommendations

Follow-up Actions Recommendations for Prevention