Statewide Cybersecurity Incident Report Form Complete the form below to report suspicious cyber activity, and a member of the Enterprise Security and Risk Management Office will contact you. For questions about reporting an incident, or if you need information security staff to contact you immediately, please call the NC DIT Customer Support Center at 800-722-3946. You can also file a complaint with the N.C. Department of Justice or the FBI's Internet Crime Complaint Center. Date of Incident * Please indicate the date you noticed the suspicious activity. Click the calendar icon to open the pop-up calendar. Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 You can not select a date that is in the future. Time of Incident * Please indicate the time you noticed the suspicious activity. Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Organization Reporting * - Select -State GovernmentLocal GovernmentPrivate BusinessIndividualOther - Please indicate in the space below Other Organization Reporting * State Agency List * DOA - Department of Administration NCDA&CS - Agriculture and Consumer Services COM - Department of Commerce DEQ - Department of Environmental Quality DHHS - Department of Health and Human Services DIT - Department of Information Technology DOI - Department of Insurance DOJ - Department of Justice DOL - Department of Labor DMVA - Department of Military and Veterans Affairs DNCR - Department of Natural and Cultural Resources DPI - Department of Public Instruction DPS - Department of Public Safety DOR - Department of Revenue DOT - Department of Transportation DST - Department of State Treasurer GOV - Office of the Governor LtGOV - Office of the Lt. Governor OSA - Office of the State Auditor OSBM - Office of State Budget and Management OSHR - Office of State Human Resources CCS - NC Community College System SOS - Secretary of State SBE - State Board of Elections WRC - Wildlife Resource Commission Industrial Commission Utilities Commission Organization or Entity Affected * State Government Local Government Private Business Individual Other - Please indicate in the space below Affected Government List * DOA - Department of Administration NCDA&CS - Agriculture and Consumer Services COM - Department of Commerce DEQ - Department of Environmental Quality DHHS - Department of Health and Human Services DIT - Department of Information Technology DOI - Department of Insurance DOJ - Department of Justice DOL - Department of Labor DMVA - Department of Military and Veterans Affairs DNCR - Department of Natural and Cultural Resources DPI - Department of Public Instruction DPS - Department of Public Safety DOR - Department of Revenue DOT - Department of Transportation DST - Department of State Treasurer GOV - Office of the Governor LtGOV - Office of the Lt. Governor OSA - Office of the State Auditor OSBM - Office of State Budget and Management OSHR - Office of State Human Resources CCS - NC Community College System SOS - Secretary of State SBE - State Board of Elections WRC - Wildlife Resource Commission Industrial Commission Utilities Commission Other Organization or Entity Affected * City Please identify the North Carolina town or city where the suspicious activity occurred. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
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