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Back to previous menu
Data Protection
Data Protection Impact Assessments
Data Protection Officer
Data Protection Policy
Information Asset Registers
Privacy Notice
Processing Personal Data
Reporting Data Breaches
Rights of Individuals
Requests for erasure of personal data
Transferring data outside the UK
Data Breach Notification Form
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Research and Data Protection
Data Protection training
Record of Processing Activities
Research Excellence Framework 2021 and data protection
Online Teaching and Data Protection
Data Protection Guidance for Email Correspondence
Disclosure of Personal Data Relating to Students
COVID-19 and Personal Data Collection
Special category and criminal offence data
Surveys and mailing lists
Division of General Counsel, Governance and Compliance
Data Breach Notification Form
<h3 class="wcmform-title">Data Breach Notification Form</h3> <p class="wcmform-description">Please use this form to report a personal data breach. <br /> <br /> If you do not have all the information necessary to complete the form, just provide what information you can. Do not delay in submitting the form whilst you gather other information, as data breaches must be reported immediately.</p> <form class="style1 wcmform" action="" method="post" id="f9EE82737-7498-2B91-2417-88F8BB4D0626" enctype="application/x-www-form-urlencoded"> <input type="hidden" name="csrf_token" value="MTY5NjQzNjUyNWE4OTM1NTk4NGI2MGY5NjVmZjVkYjg0ODdiYjMwYzU2YWE1MDI3MWFhMzBiNjExMjIwOTgxZGQ4YjlhN2UzOGZjMzg5ZmM0NzY5YjE2OTVi" /> <input type="hidden" name="form" value="9EE82737-7498-2B91-2417-88F8BB4D0626" /> <fieldset data-id="fs-0"><legend class="legend show-for-sr">Contact Details</legend><h3 aria-hidden="true">Contact Details</h3><dl><dt><label class="" for="AxSDPi1Yfr">Title</label></dt><dd><select name="AxSDPi1Yfr" id="AxSDPi1Yfr"><option value="">Please select...</option><option value="Dr">Dr</option><option value="Miss">Miss</option><option value="Mr">Mr</option><option value="Mrs">Mrs</option><option value="Ms">Ms</option><option value="Mx">Mx</option><option value="Prof">Prof</option><option value="Sir">Sir</option></select></dd><dt><label class="required" for="CALvg6HYej">First Name</label></dt><dd><input type="text" name="CALvg6HYej" id="CALvg6HYej" required="required" /></dd><dt><label class="required" for="3H25RbCoIh">Last Name</label></dt><dd><input type="text" name="3H25RbCoIh" id="3H25RbCoIh" required="required" /></dd><dt><label class="" for="xCicP9Spry">E-mail</label></dt><dd><div class="description">Please provide an e-mail address that we can use to contact you.</div><input type="email" name="xCicP9Spry" id="xCicP9Spry" /></dd></dl></fieldset><fieldset data-id="fs-1"><legend class="legend show-for-sr">Details of the Data Breach</legend><h3 aria-hidden="true">Details of the Data Breach</h3><dl><dt><label class="" for="mgsxJlCIFp">When did the breach happen?</label></dt><dd><div class="description">Please provide the time and date of the breach. If any of these details are unknown, then please state 'Not yet known' in the field below.</div><input type="text" name="mgsxJlCIFp" id="mgsxJlCIFp" /></dd><dt><label class="" for="D8x1rLky0i">When was the data breach discovered?</label></dt><dd><div class="description">Please provide the time and date that the data breach was first identified. This is important as some data breaches need to be reported to the Information Commissioner’s Office within 72 hours of the University becoming aware of the breach. If unknown, then please state 'Not known' in the field below.</div><input type="text" name="D8x1rLky0i" id="D8x1rLky0i" /></dd><dt><label class="" for="Mf8FXRlENf">What has happened?</label></dt><dd><div class="description">Please outline what has happened and how the breach occurred.</div><textarea name="Mf8FXRlENf" id="Mf8FXRlENf" style="width:98%;height:10em;" class="elementTextarea"></textarea></dd><dt><label class="">What categories of personal data where included in the breach?</label></dt><dd><div class="description">Tick all that apply</div><div class="elementGroupContainer elementCheckbox"><label><input name="M9RdSK2IQk[]" type="checkbox" value="Basic personal identifies, e.g. name, contact details" /> Basic personal identifies, e.g. name, contact details</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Identification data e.g. usernames, passwords" /> Identification data e.g. usernames, passwords</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Economic or financial data, e.g. bank details" /> Economic or financial data, e.g. bank details</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Genetic or biometric data" /> Genetic or biometric data</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Data revealing racial or ethnic origin" /> Data revealing racial or ethnic origin</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Religious or philosophical beliefs" /> Religious or philosophical beliefs</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Trade Union membership" /> Trade Union membership</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Political opinions" /> Political opinions</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Sex life data" /> Sex life data</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Sexual orientation data" /> Sexual orientation data</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Gender reassignment data" /> Gender reassignment data</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Health data" /> Health data</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Criminal convictions or offences" /> Criminal convictions or offences</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="Not yet known" /> Not yet known</label><br /><label><input name="M9RdSK2IQk[]" type="checkbox" value="M9RdSK2IQk_other" /> <input type="text" name="M9RdSK2IQk_other" class="includeother" value="" /> Other, please specify</label><br /></div></dd><dt><label class="" for="54MZTMZmqJ">How many data subjects could be affected?</label></dt><dd><div class="description">A data subject is a person whose personal data is processed by the University.</div><input type="text" name="54MZTMZmqJ" id="54MZTMZmqJ" /></dd><dt><label class="">Categories of data subjects affected</label></dt><dd><div class="description">Tick all that apply</div><div class="elementGroupContainer elementCheckbox"><label><input name="ExFDtmWLII[]" type="checkbox" value="Staff" /> Staff</label><br /><label><input name="ExFDtmWLII[]" type="checkbox" value="Students" /> Students</label><br /><label><input name="ExFDtmWLII[]" type="checkbox" value="Research participants" /> Research participants</label><br /><label><input name="ExFDtmWLII[]" type="checkbox" value="Children" /> Children</label><br /><label><input name="ExFDtmWLII[]" type="checkbox" value="Not yet known" /> Not yet known</label><br /><label><input name="ExFDtmWLII[]" type="checkbox" value="Others" /> Others</label><br /></div></dd></dl></fieldset><fieldset data-id="fs-2"><legend class="legend show-for-sr">Actions</legend><h3 aria-hidden="true">Actions</h3><dl><dt><label class="" for="lmywqlTfGX">Actions</label></dt><dd><div class="description">Briefly outline any actions that you have already taken.</div><textarea name="lmywqlTfGX" id="lmywqlTfGX" style="width:98%;height:10em;" class="elementTextarea"></textarea></dd><dt><label class="" for="hBP1IioKTw">Comments</label></dt><dd><div class="description">Please provide any other details that you consider are relevant.</div><textarea name="hBP1IioKTw" id="hBP1IioKTw" style="width:98%;height:10em;" class="elementTextarea"></textarea></dd><p class="information">This breach notification form will be submitted to the University’s Data Protection Officer who will contact you and advise on next steps, and may request further information. Once you have submitted your form, if you have any queries please contact the Data Protection Officer by email at dpo@sussex.ac.uk.</p></dl></fieldset> <input class="button" type="submit" value="Submit" /> </form> <script type="text/javascript"> $(function(){ function bytesToSize(bytes) { var sizes = [' bytes', 'KB', 'MB', 'GB', 'TB']; if (bytes == 0) return 'n/a'; var i = parseInt(Math.floor(Math.log(bytes) / Math.log(1024))); return Math.round(bytes / Math.pow(1024, i), 2) + sizes[i]; }; function wordCount(str, charlist) { var len = str.length, cl = charlist && charlist.length, chr = '', tmpStr = '', i = 0, c = '', wC = 0, reg = '', match = false; var _preg_quote = function(str) { return (str + '').replace(/([\\\.\+\*\?\[\^\]\$\(\)\{\}\=\!<>\|\:])/g, '\\$1'); } var _getWholeChar = function(str, i) { var code = str.charCodeAt(i); if (code < 0xD800 || code > 0xDFFF) { return str.charAt(i); } if (0xD800 <= code && code <= 0xDBFF) { if (str.length <= (i + 1)) { throw 'High surrogate without following low surrogate'; 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