Breach Notification Form

The Data Protection (Jersey) Law 2018 includes a duty on all organisations to report certain types of personal data breach to the Jersey Office of the Information Commissioner (JOIC). You must do this without undue delay, within 72 hours of becoming aware of the breach, not after investigation.

Please be assured that any information you provide us with will be treated in confidence. Remember that we are here to help; we can give your advice and support during this difficult time.

Once you have, a reasonable degree of certainty that a security incident has occurred that has led to personal data being compromised – notify us using the form below.

If applicable, as and when more details are discovered – please keep us updated.

Section 1

Contact Details

Section 2

Breach Data

  • data revealing racial or ethnic origin
  • data revealing political opinions
  • data revealing religious or philosophical beliefs
  • data revealing trade union membership
  • genetic or biometric data that is processed for the purpose of uniquely identifying a natural person
  • data concerning health
  • data concerning a natural person's sex life or sexual orientation
  • data relating to a natural person's criminal record or alleged criminal activity

Declaration

I have included all the necessary supporting evidence with my breach report.

I understand that the Commissioner may need to share the information I have provided to fulfil their regulatory functions so they can look into my breach report. The information I have provided is accurate to the best of my knowledge.

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Success

Your breach notification has been received.

Your case reference is:

If you need any help in completing this form, please consult the guidance notes or contact the office between 8:45am to 4:30pm Monday to Friday.

How to report a Breach