Information Services

West Chester University

Adel Barimani, CIO
Interim Vice President of Information Services
Anderson Hall Room 23
West Chester University
610-436-3476/2828

Incident Report

If you believe you have been involved or are aware of a computer incident, please complete the form below. If you have any difficulties filling out the form, you can also send an email to

abuse@wcupa.edu

Contact Information
First Name:

Last Name:
Title:
Department or Company:
Street:
City:
State:
Zip:
Phone:
Email:
Event Information
Date of Incident:
Time of Incident:
Type of Incident: Help!
Suspected Method:

Apparent Source:
Evidence of Spoofing?

YesNo
Loss/Compromise of Sensitive/classified or proprietary information? YesNo
Damage to Systems/data? YesNo
Description: