Form PI1 Ssa Data Incident Report - California

Form PI1 Ssa Data Incident Report - California

What Is Form PI1?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PI1 Ssa Data Incident Report?
A: Form PI1 Ssa Data Incident Report is a document used in California to report incidents relating to the unauthorized access, disclosure, or acquisition of personal information held by government agencies.

Q: Who is required to fill out Form PI1 Ssa Data Incident Report?
A: Government agencies in California that experience a data incident involving personal information are required to fill out Form PI1 Ssa Data Incident Report.

Q: What information is required on Form PI1 Ssa Data Incident Report?
A: Form PI1 Ssa Data Incident Report requires information such as the date and time of the incident, the type of incident, the number of individuals affected, the actions taken to mitigate the incident, and the contact information of the agency.

Q: Are there any deadlines for submitting Form PI1 Ssa Data Incident Report?
A: Yes, Form PI1 Ssa Data Incident Report must be submitted within 10 calendar days of the agency becoming aware of the incident.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form PI1 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form PI1 Ssa Data Incident Report - California

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