Incident Report Form


Use this form to report Information Technology Security Incidents (that involve State Government) to the Kansas Information Security Office (KISO). 

Please provide as much detail as possible as this will assist with the initial assessment and investigation of the incident.


* indicates the information is required

Incident Status: this report is regarding (choose one)

Contact Information

Incident Description

Incident type:

Additional Information About the Incident

Impact of the Incident :
Criticality of the Attack :
Sensitivity of Data :