Incident Response Form Template for Belgium

A standardized form designed for use in Belgium, compliant with both Belgian national law and EU regulations (particularly GDPR), for documenting and reporting security incidents and data breaches. The document facilitates systematic collection of incident-related information, supports compliance with mandatory reporting requirements, and guides organizations through the incident response process. It incorporates specific provisions required by Belgian data protection authorities and includes necessary elements for reporting to relevant supervisory bodies within the mandated timeframes.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Get template free
Upload to review

Your data doesn't train Genie's AI

You keep IP ownership of your docs

4.6 / 5
4.6 / 5
4.8 / 5

What is a Incident Response Form?

The Incident Response Form serves as a critical document for organizations operating in Belgium to properly document and manage security incidents and data breaches. This form is designed to ensure compliance with both Belgian national law and EU regulations, particularly the General Data Protection Regulation (GDPR) which requires notification of personal data breaches within 72 hours. The form captures essential information needed for internal investigation, regulatory reporting, and incident management. It should be used immediately upon discovery of a security incident or data breach, facilitating quick decision-making and appropriate escalation procedures. The document includes sections for initial incident detection, impact assessment, response actions, and regulatory notification requirements, making it an essential tool for maintaining legal compliance and effective incident management in the Belgian jurisdiction.

What sections should be included in a Incident Response Form?

1. Incident Identifier: Unique reference number and classification of the incident

2. Initial Detection Details: Date, time, and method of incident detection, including who first reported or detected the incident

3. Incident Description: Detailed description of the incident, including nature, scope, and initial assessment of impact

4. Systems and Data Affected: Identification of affected systems, applications, and types of data involved (especially personal data under GDPR)

5. Impact Assessment: Evaluation of the incident's impact on operations, data, customers, and regulatory compliance

6. Immediate Response Actions: Documentation of initial actions taken to contain and respond to the incident

7. Notification Requirements: Checklist of required notifications (regulatory authorities, data subjects, law enforcement)

8. Response Team Details: Names and contact information of incident response team members and their roles

9. Current Status: Current state of the incident and ongoing response efforts

What sections are optional to include in a Incident Response Form?

1. Third Party Involvement: Details of any third-party vendors or contractors involved - include when external parties are affected or involved in the incident

2. Business Continuity Measures: Description of business continuity and disaster recovery measures implemented - include for severe incidents affecting operations

3. Cost Impact: Assessment of financial impact and resources required - include for significant incidents requiring budget allocation

4. Media Communications: Details of any public or media communications - include for high-profile incidents requiring public disclosure

5. Insurance Claims: Information relevant for cyber insurance claims - include when incident may be covered by insurance

What schedules should be included in a Incident Response Form?

1. Incident Timeline: Detailed chronological timeline of the incident and response actions

2. Evidence Log: List and location of all evidence collected related to the incident

3. Contact List: Emergency contacts and escalation procedures

4. System Logs: Relevant system, security, and application logs

5. Data Breach Notification Template: Template for GDPR-compliant data breach notifications

6. Recovery Checklist: Checklist for verifying system and data recovery

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Belgium

Publisher

Genie AI

Document Type

Incident Report

Cost

Free to use

Find the exact document you need

Hazard Report Form

A Belgian-compliant workplace hazard reporting form for systematic documentation and management of safety concerns, aligned with local workplace safety regulations and EU directives.

Download

Incident Response Form

A Belgian-law compliant form for documenting and reporting security incidents and data breaches, aligned with EU GDPR and national requirements.

Download

Incident Investigation Form

Belgian-compliant workplace incident investigation form for documenting, analyzing, and following up on workplace incidents and accidents.

Download
See more related templates

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it

2 Docs LeftAccess Now