Report personal data breach to Nuon l Form and Q&A for data processors

  1. Report data breach
  2. Confirmation

Report data breach

Following an amendment of the Personal Data Protection Act (Wbp), the reporting of data leaks will be mandatory as of 1 January 2016. Please notify Nuon immediately and ultimately within 24 hours by filling in this form when a personal data security breach has been detected. Should you have any questions about this form, please send an e-mail to data.protection.netherlands@nuon.com.

1. Company data

Information about the company by which a data leak has been detected.

Mandatory field.

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2. Describe the data breach

Describe in full detail the cause and (possible) results of the data breach for the personal data protection.

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3. Contact person

Whom can be contacted by Nuon for further information.

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4. When did you detect the breach?

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5. When did the breach occur?

Fill in: date, time, interval, occasion

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6. Describe the group of people whose personal data is affected by the breach

More than one possible answer.

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7. What is the nature of the breach?

More than one possible answer.

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8. How many people’s data has been affected?

Report a minimum and maximum number.

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9. What type of personal data is involved?

Types of personal information are e.g.: Name, address, city data l Telephone numbers l E-mail addresses or other addresses for electronic communication l  Authorisation or identification data (e.g. login, password, customer number) l  Financial data (e.g. bank account number, credit card number) l Social security number l Passport copy or copy of other id documents l Gender, birth date and/or age  l i. Special/sensitive information (medical data etc.) l Other data (please describe).

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10. Has the personal data been encrypted, hashed or otherwise rendered incomprehensible or inaccessible to unauthorised parties?

Describe the situation. When rendered incomprehensible, please describe how this was done.

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11. Does the data breach concern personal data of European Union citizens apart from the Dutch?

Make your choice:

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12. What technical and/or organisational measures has your company implemented?

What technical and/or organisational measures has your company implemented to tackle the breach and to prevent further breaches?

Mandatory field.

  1. Report data breach
  2. Confirmation

Please check your data

Company: {{ strValue(data.name_company) }}
Zip code: {{ strValue(data.zipcode_eng) }}
Street number {{ strValue(data.Street_number) }}
Street name {{ strValue(data.Street_name) }}
Town l city l country {{ strValue(data.town_city) }}
Describe the incident {{ strValue(data.describe_incident) }}
You are {{ strValue(data.gender_eng) }}
Initials {{ strValue(data.Initials) }}
Surname {{ strValue(data.surname) }}
Telephone number {{ strValue(data.telephonenumber_eng) }}
E-mail address {{ strValue(data.email) }}
Date (dd-mm-yy) {{ strValue(data.date_eng) }}
Time (hh.mm) {{ strValue(data.problem_time) }}
Fill in: {{ strValue(data.Period_discription) }}
Employees {{ strValue(data.employees) }}
Customers {{ strValue(data.customers) }}
Other, namely: {{ strValue(data.other_group) }}
Reading (confidentiality) {{ strValue(data.reading) }}
Duplication {{ strValue(data.duplication) }}
Amendment (integrity) {{ strValue(data.amendment) }}
Deletion or destruction (availability) {{ strValue(data.deletion) }}
Theft {{ strValue(data.theft) }}
Loss {{ strValue(data.loss) }}
Unauthorised access {{ strValue(data.unauthorised) }}
Other, namely: {{ strValue(data.problem_breach) }}
Minimum: {{ strValue(data.problem_minimum) }}
Maximum: {{ strValue(data.problem_maximum) }}
Personal data: {{ strValue(data.problem_personal) }}
Description: {{ strValue(data.problem_encryption) }}
{{ strValue(data.databreach_eng) }}
Description: {{ strValue(data.problem_measures) }}

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  1. Report data breach
  2. Confirmation

We have received your data breach report

You will receive an e-mail confirmation of your report. We will send this confirmation to the e-mail address of the contact person whose details have been entered.

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