Please complete the form below to report a potential data breach. This report will be send directly to the UCSU Senior Management Team and investigated accordingly.

The investigating team may be in contact if more information is required from yourself regarding the report submitted. If you have further supporting evidence please complete the form below and then email this directly to the GM. 

Please remember that a data breach means a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of, or access to, personal data. This includes breaches that are the result of both accidental and deliberate causes. It also means that a breach is more than just about losing personal data.

 

Name:  

Role:  

Email:  

Telephone Number:   

 

I am logging this report on behalf of:   MyselfSomeone else

If someone else please provide their name:   

 

Do you believe the data breach contains personal information?  NoYesUnsure

 

Do you believe the data breach contains any sensitive personal information? YesNoUnsure

 

Who do you believe the data belongs to? UCSUUoCBoth

 

Has this been reported to the University of Chichester DPO? YesNo

 

In the box below please provide as much detail as possible describing the circumstances around the data breach, including:

- What information is involved, to whom it pertains and the number of individuals’ data involved

- What happened to it - lost, stolen, or inadvertently disclosed

- How the breach may have happened

- Actions taken so far

 

 I have read and understood that if I have submitted personal details in any format: name or email address, that I consent to them being used for the purposes of following up with the breach documented only and helping UCSU comply with their legal obligations.

  I am aware that when completing this form, my name and email will be displayed on the email sent if I am logged into the website.