Form Report Data Breach

You can fill in the “Personal data breach notification CentERdata” form below. The completed form will be sent you and to our Data Protection Officer (DPO). Our DPO can contact you for additional information regarding the personal data breach. We kindly request you to cooperate. Please consult our Privacy Statement to see how we take care of your personal data.

CentERdata’s DPO can be reached via


Provide a summary of the incident in which the personal data breach occurred. What is the nature of the breach (confidentiality, integrity or availability)? E.g. deleting the only copy, transfer to the wrong party due to a typo in the e-mail address or hacking into a database accessible via the internet.