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General Information

Date*

Time

Country

City

Zipcode

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Affected Organization

PV Number

- or -

Name Police Zone

Name Police Officer

Phone Number Police Officer

Incident Category

Treat General
Bomb
Death
Kidnap
Other

Observation of site / Suspicious behavior

Protest, March or Riot against Organization / Facility

Physical site Intrusion Attempt / Unauthorized presence on Site

Cyber Crime or Attempts to Breach Computer Systems

Fraud case

Breaking and Entering

Vandalism or Arson

Armed Robbery

Theft Money
Laptops PDA Mobiles
Produced or stored goods
Vehicles
Vehicle license plates
Sensitive Information
Identification Cards, Keys or Combinations
Tickets Stocks - Airlines, Rails, etc
Uniforms
Weapons and Explosives

Carjacking (management or possibly company related)

Homejacking (management or possibly company related)

Sexual Harassment, Stalking

Physical Attack, Sexual Assault (on Site or nearby)

Attempt to Induce or Corrupt Employee

Blackmail, Extortion

Kidnapping or Attempted Kidnapping

Shooting

Bombing

BioChem Attack or Incident

Incident Report

Summary

Uploaded files

File 1

File 2

File 3

Submitted by

Name*

E-mail*

Mobile*

Security Code

Thank you for submitting a Indent Report.
You will be contacted shortly.

Best regards,

ECSA Secretariat

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