Statewide Cybersecurity Incident Report Form

Please complete this webform to report suspicious cyber activity. A member of the Enterprise Security and Risk Management team will contact you.

For questions about reporting an incident, or if you need Information Security staff to contact you immediately, please call the Customer Support Center at 1-800-722-3946.

Date of Incident *

Please indicate the date you noticed the suspicious activity. Click the calendar icon to open the pop-up calendar.

Month

Day

Year

You can not select a date that is in the future.

Time of Incident *

Please indicate the time you noticed the suspicious activity.

Hour

Minute

Organization Reporting *

Other Organization Reporting *

Organization or Entity Affected *

Other Organization or Entity Affected *

City

Please identify the North Carolina town or city where the suspicious activity occurred.

CAPTCHA

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