Print and fax it to MyCERT at +603 - 8945 3442
Contact Information
1. Your contact information
1.1 Name
1.2 Email address
1.3 Telephone number
1.4 FAX number
Incident Categories
1. Please indicate the incident catagories
1.1 Nework Abuse
1.1.1 Intrusion
1.1.2 Destruction
1.1.3 Denial of service attack
1.1.4 Hack Threat
1.1.5 Probe/Scan
1.1.6 Spoofing
1.2 Email Abuse (please provide the full header)
1.1.1 Mailbomb
1.1.2 Virus
1.1.3 Email Forgery
1.1.4 Harrassment
1.1.5 Spamming
1.1.6 Others (please specify)
Detail description of the incident
1 Please provide as much detail as possible
1.1 Suspected date and time of attack
1.2 Suspected method of intrusion (e.g., name of virus, name of exploit script, etc.)
1.3 How you discovered the incident
1.4 The source of the attack (if known)
1.5 Steps taken to address the incident (e.g., binaries reinstalled, patches applied)
1.6 Planned steps to address the incident (if any)
2 Please append any log information or directory listings and time zone information relative to GMT to the end of this document.
Other information
1 What assistance would you like from MyCERT
2 Would you allow MyCERT to reveal your contact info
3 Any additional information
General Information
1 Incident number (to be assigned by MyCERT)
2 Reporting site information
2.1 Name of Organization
2.2 Name of Domain (e.g., mycert.org.my)
