Data Breach Notification Form To The Supervisory Authority Template

Data Breach Notification Form To The Supervisory Authority Template

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A data breach notification form to the supervisory authority is a formal document that companies and organizations use to report a data breach to the relevant supervisory authority.


The goal of this document is to capture the required information to be relayed to the supervisory authority in case of a data breach.

Format: MS WORD


  •  Data Breach Notification Form is a template that data controllers can use to notify the supervisory authority of a data breach.
  • The form includes sections for the data controller to provide details of the data breach, the steps taken to mitigate the breach, and the contact details of the data controller.

Data Breach Notification Form to the Supervisory Authority Template Includes the Following : 

1. Overview 
1.1 Purpose 
1.2 Scope 
2. Team 
2.1 Roles and Responsibilities 
2.2 Team Members 
3. Data Breach Notification Form 
4. Key Contacts and Escalations 

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