Biometric Security Incident Report
Please use this form to report any incidents involving biometric security systems. Complete all sections as accurately as possible to assist with investigation and resolution.
Date and Time of Incident
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Type of Biometric System Involved
*
Please Select
Fingerprint Scanner
Facial Recognition
Iris Scanner
Voice Recognition
Hand Geometry
Other
Nature of Incident
*
Unauthorized Access Attempt
System Malfunction
Data Breach
False Rejection/Acceptance
Physical Tampering
Other
Detailed Description of the Incident
*
Actions Taken Immediately After the Incident
*
Were there any witnesses?
*
Yes
No
Names and Contact Information of Witnesses (if any)
Upload Supporting Evidence (photos, logs, etc.)
Upload a File
Drag and drop files here
Choose a file
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Reporter Full Name
*
First Name
Last Name
Reporter Email Address
*
example@example.com
Reporter Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Signature (to confirm the accuracy of this report)
*
Submit Report
Submit Report
Should be Empty: