Suspicious Communication Device Incident Report Form
Use this form to report a suspicious communication device incident and provide the details needed for follow-up and documentation.
Reporter and Incident Overview
Reporter Name
*
Job Title or Role
*
Department or Organization
*
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Incident Date
*
-
Month
-
Day
Year
Date
Incident Time
*
Hour Minutes
AM
PM
AM/PM Option
Incident Location
*
Brief Incident Summary
Suspicious Device Details
Type of Communication Device
*
Mobile Phone
Two-Way Radio
Laptop
Tablet
Smartwatch
Unknown Device
Other
Device Description or Visible Identifiers
Observed Suspicious Indicators
*
Unexpected Activation
Unusual Wiring
Hidden Components
Unauthorized Presence
Abnormal Behavior
Repeated Signaling
Unknown Accessories
Other
Was the Device Physically Handled?
*
Yes
No
Where the Device Was Found or Last Seen
*
Incident Circumstances and Actions Taken
Was anyone present nearby when the device was noticed?
*
Yes
No
Witness name or role
Immediate actions taken
*
Isolated area
Notified supervisor
Notified security
Notified IT
Powered down equipment
Avoided touching device
Evacuated area
Other
Were emergency services or a specialized response team contacted?
*
Yes
No
Who was notified and when?
*
Was there any disruption, threat, or safety concern?
*
Yes
No
Describe any follow-up or containment steps completed
Attachments and Additional Notes
Attachments are optional. Upload photos, screenshots, logs, or other supporting evidence only if available.
Supporting Attachments
Upload a File
Drag and drop files here
Choose a file
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Additional Details
Submit Report
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