Privacy, Security & Compliance Office

Support from experts in privacy, security and research regulations, developing, managing, and overseeing compliance programs for responsible research, data sharing and reuse.

Raise your support request with the Privacy, Security and Compliance Office by using the options provided here. You will receive an automated message once your ticket has been created.

NOTE: Please do not include Protected Health Information (PHI) anywhere within your request

What can we help you with?

Select is focused , press Down to open the menu,

Report Data Incidents

Required fields are marked with an asterisk

Email confirmation to(required)

Summary(required)

Attachment

Drag and drop files, paste screenshots, or browse

Submit this form to report a suspected data privacy or security incident.

Questions? Contact privacyofficer@sagebase.org

Name of Reporter

Raise This Request On Behalf Of

Name of original reporter

Select...

Synapse Project Name(s)

Associated Synapse IDs

List all known Synapse IDs associated with incident

Principal Investigator

Principal Investigator Email

Institution

Date Incident Discovered

Date Incident Reported

Related Jira Tickets

List and link related Jira tickets that have been created related to this incident

PHI/PII or Human Subjects Data

Does incident involve PHI/PII or human subjects data? Choose answer from drop down menu.

Select...

Title of Incident

Description of Incident

Containment Actions Taken

Notifications/Communication Actions Taken