Your organisation’s details
             
  
    Company name(required)          
         
     
    
    Sector(required)          
         
    
        
          
                Make your choice 
          
                Energy - Electricity 
          
                Energy - District heating and cooling 
          
                Energy - Oil 
          
                Energy - Gas 
          
                Energy - Hydrogen 
          
                Transport - Air 
          
                Transport - Rail 
          
                Transport - Water 
          
                Transport - Road 
          
                Banking 
          
                Financial market infrastructures 
          
                Health 
          
                Drinking water 
          
                Waste water 
          
                Digital infrastructure - Internet exchange point providers 
          
                Digital infrastructure - DNS service providers, excluding operators of root name servers 
          
                Digital infrastructure - Top-level domain name registries 
          
                Digital infrastructure - Cloud computing service providers 
          
                Digital infrastructure - Data centre service providers 
          
                Digital infrastructure - Content delivery network providers 
          
                Digital infrastructure - Trust service providers 
          
                Digital infrastructure - Providers of public electronic communications networks 
          
                Digital infrastructure - Providers of publicly available electronic communications services 
          
                Domain name registration services 
          
                ICT service management (business to business) - Managed service providers 
          
                ICT service management (business to business) - Managed security service providers 
          
                Public administration - Central government 
          
                Public administration - Provinces 
          
                Public administration - Municipalities 
          
                Public administration - Water authorities 
          
                Public administration - Other 
          
                Space 
          
                Post and courier services 
          
                Waste management 
          
                Manufacture, production and distribution of chemicals 
          
                Production, processing and distribution of food 
          
                Manufacturing - Manufacture of medical devices and in vitro diagnostic medical devices 
          
                Manufacturing - Manufacture of computer, electronic and optical products 
          
                Manufacturing - Manufacture of electrical equipment 
          
                Manufacturing - Manufacture of machinery and equipment not elsewhere classified 
          
                Manufacturing - Manufacture of motor vehicles, trailers and semi-trailers 
          
                Manufacturing - Manufacture of other transport equipment 
          
                Digital providers - Providers of online marketplaces 
          
                Digital providers - Providers of online search engines 
          
                Digital providers - Providers of platforms for social network services 
          
                Research 
          
                Other 
           
         
    
    Select your organisation’s primary sector
     
  
    Given name(required)          
         
     
    
    Surname(required)          
         
     
    
    Email address(required)          
         
     
    
    Telephone number(required)          
         
     
    
    Job title(required)          
         
     
    
      Contact person
            Complete this section only if the contact person is different from the notifier.
             
  
    Given name(required)          
         
     
    
    Surname(required)          
         
     
    
    E-mail address(required)          
         
     
    
    Telephone number(required)          
         
     
    
    Job title(required)          
         
     
    
  
    Does the  incident have a  cross-border  impact that also  affects other EU  countries?(required)          
         
    
        
          
                Make a choice 
          
                Yes 
          
                No 
           
         
    
    For significant incidents with a cross-border impact, the national CSIRT informs other EU member states.
     
    What other countries in the EU are affected  by the cross-border impact?(required) 
         
    
    For cross-border inci-dents we want to share information international-ly to minimise the risk of a larger impact.
     
  
    Type of incident(required)          
         
    
        
          
                Make a choice 
          
                Abusive content - Spam 
          
                Abusive content - (Child) sexual exploitation/sexual/violent content 
          
                Malicious code - Infected system 
          
                Malicious code - C2 server 
          
                Malicious code - Malware distribution 
          
                Malicious code - Malware configuration 
          
                Information gathering - Scanning 
          
                Information gathering - Sniffing 
          
                Information gathering - Social engineering 
          
                Intrusion attempts - Exploitation of known vulnerabilities 
          
                Intrusion attempts - Login attempts 
          
                Intrusion attempts - New attack signature 
          
                Intrusions - Privileged account compromise 
          
                Intrusions - Unprivileged account compromise 
          
                Intrusions - Application compromise 
          
                Intrusions - System compromise 
          
                Intrusions - Burglary 
          
                Availability - Denial of service 
          
                Availability - Distributed denial of service 
          
                Availability - Misconfiguration 
          
                Availability - Sabotage 
          
                Availability - Outage 
          
                Information content security - Unauthorised access to information 
          
                Information content security - Unauthorised modification of information 
          
                Information content security - Data loss 
          
                Information content security - Leak of confidential information 
          
                Fraud - Unauthorised use of resources 
          
                Fraud - Copyright 
          
                Fraud - Masquerade 
          
                Fraud - Phishing 
          
                Vulnerable - Weak cryptography 
          
                Vulnerable - DDoS Amplifier 
          
                Vulnerable - Potentially unwanted accessible services 
          
                Vulnerable - Information disclosure 
          
                Vulnerable - Vulnerable system 
          
                Other - Uncategorised 
          
                Other - Undetermined 
           
         
    
     
    Description of  the incident(required) 
         
    
    Give a description of the incident that is as detailed as possible based on the information currently available. Provide as much context as possible. Indicators of compromise may also be included in this field.
     
    Visible and  expected impact  of the incident 
    
    Describe the visible and expected impact of the incident. This could include: whether critical processes have been affected and if so, which ones; the incident’s impact on the organisation and the potential or expected impact on customers; whether there is a visible or expected impact that has national security implications or entails a risk of loss of human life or disruption of public order.
     
    What is the  cause of the  incident and  what measures  have been taken  to prevent a  repeat of the  incident in the  future? 
    
    Where possible, provide information about the cause of the incident, such as human error, a software vulnerability, etc. In addition, state what measures have been taken to prevent a repeat incident. It is possible to attach reports at the end of this form.
     
    What is the  organisation  itself doing and is  help needed? 
    
    Is help from the CSIRT needed? If so, please also contact your sectoral CSIRT by phone. State here what help is needed, and what the organisation itself is already doing, including engaging a third party to provide support.
     
    Any additional  comments