Data Privacy Incident Form

DATA PRIVACY BREACH

Full Name

Company

Email address

Mailing address

Telephone Number

What is your relationship with GTT?

When did you become aware of the incident?

Approximate number of affected data subjects

Please provide a brief description of the incident?

Who are the affected individuals?

What categories of personal data are affected?

Additional Information

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Maximum file size: 516MB

If you have any documentation in support of your request or you believe is relevant, please attach it using the field above.

* I certify that I am 18 years of age or older and that I have read, understand, and agree to GTT’s Privacy Policy.

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