NY Security Breach Reporting Form free printable template

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NEW YORK STATE SECURITY BREACH REPORTING FORM Pursuant to the Information Security Breach and Notification Act (General Business Law 899aa) Name and address of Entity that owns or licenses the computerized

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How to fill out NY Security Breach Reporting Form

01

Download the NY Security Breach Reporting Form from the official website.

02

Provide your contact information including name, email, phone number, and address.

03

Describe the nature of the data breach, including how it occurred.

04

Specify the types of personal data that were compromised (e.g., names, social security numbers).

05

Include the estimated date of the breach and when it was discovered.

06

Detail any actions taken to mitigate the breach, such as notifying affected individuals.

07

Sign and date the form before submission.

Who needs NY Security Breach Reporting Form?

01

Businesses and organizations that experience a security breach involving private information.

02

Organizations that are required by law to report breaches to the state.

03

Any entity that holds or has access to sensitive personal information of New York residents.

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What is NY Security Breach Reporting Form?

The NY Security Breach Reporting Form is a document required by New York State law for reporting data breaches that involve private information of New York residents.

Who is required to file NY Security Breach Reporting Form?

Any individual or entity that owns or licenses computerized data containing private information of New York residents is required to file the NY Security Breach Reporting Form in the event of a data breach.

How to fill out NY Security Breach Reporting Form?

To fill out the NY Security Breach Reporting Form, a filer must provide details including the nature of the breach, the number of New Yorkers affected, types of information compromised, and any steps taken to mitigate the breach.

What is the purpose of NY Security Breach Reporting Form?

The purpose of the NY Security Breach Reporting Form is to notify the state of New York of data breaches involving personal information, ensuring that affected individuals and law enforcement are informed and can take appropriate actions.

What information must be reported on NY Security Breach Reporting Form?

The information that must be reported includes the date of the breach, how the breach occurred, the number of affected individuals, types of data compromised, and any measures taken to prevent future breaches.

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