Cybercrime Report Template

Do you know when the incident occured?*

YesNo

Date and time when the incident occurred

MonthDayYearHourMinutesAM/PM Option

Do you know how the incident occurred?*

YesNo

Infection vector (how did the malware or attacker enter the system)

How did you learn about the incident?*

Device showing strange or inappropriate behaviorMy Internet Service Provider (ISP)My antivirus/antimalware software/hardware (UTM, firewall, IPS/IDS...)Unauthorized money transfer from bank/credit card/PayPal/...Alerted by my company's administratorAlerted by a friend/colleague/security researcherOther

Do you have knowledge of any other victims/witnesses involved in the attack?*

YesNo

Indicate other victims or witnesses. Please provide name(s) and email address(es), or website/other contact means

	Name	Email	Website	Other (phone number, ...)
Person #1
Person #2
Person #3

Do you have knowledge of the actors behind this attack? (ie. the cybercriminals)*

YesNo

Fill in any and all information you have already gathered about the cybercriminals.

Describe the incident*

Try to be specific and include as many details possible

Did you experience any monetary loss?*

YesNo

Monetary loss ($/€/£/...)

Means of payment you used

Have you already reported this incident to law enforcement or government agencies?*

YesNo

Please refer to the following websites if you would also like to report this seperately:

Report Cybercrime Online (EU)

IC3 Complaint Referral Form (US)

In case you do not want to report this to a specific law enforcement agency seperately, just finish up this form. If you are willing, it is possible to share any information through Criminal Intelligence teams - this can be completely anonymous, similar to this form.

Be sure to contact your CERT or local police department to ask if they have such a team or anonymous reporting possiblity (see also links above).

You can find a list of CERTs here:
CERTs by Country - Interactive Map

List of National CSIRTs

APCERT team members

Indicate the organizations or individuals that you contacted

Local police departmentCountry CERTLawyer/attorneyLocal computer store/Antivirus vendor/Hardware providerMeans of payment organisation (bank, card service, PayPal, ...)External company (please specify in "Other")Other

Add any other information you deem relevant

Cybercrime Report Template

Victim information

Attack(er) information