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Mandatory Privacy Policy

To the extent you are completing this form on your own behalf, and not on behalf of your agency or organization, be advised that the information on the form is being collected in accordance with the Privacy Act Statement on the IC3 homepage, https://www.ic3.gov/Home/Privacy. Whether you are completing the form on your own behalf, or on behalf of your agency or organization, you are requested to avoid including, to the extent possible, the personally identifiable information of others. Visit IC3's Privacy Notice page for more information.

Microsoft and/or the FBI are providing you this portal because you may have been impacted by a nation state threat actor cyberattack as described in the Microsoft Security Response Center's Blog and subsequent Microsoft Threat Intelligence blog. The FBI is coordinating the U.S. Government's investigation and damage assessment into this cyber threat activity. The FBI's National Cyber Investigative Joint Task Force (NCIJTF) has been designated to receive and process the Requests for Information (RFIs) about this breach. To assist the NCIJTF in completing this request promptly, please answer the following questions:

A red asterisk (*) indicates a required field.

Please provide your agency's name as well as a POC with contact number and government email address so that we can contact the appropriate individual should we identify any impact to your agency.
*Do you have an RFI?