Improper Data Disclosure Reporting Form

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The Catskill Central School District takes security of student data seriously. If you believe there has been a possible breach or improper disclosure of student data, please complete this form and submit it online or print out the form and mail it to the district Data Privacy Officer.
Catskill Central School District Privacy Officer
343 West Main Street
Catskill, NY 12414

Full Name of Reporter *

Phone Number of Reporter *

Email Address of Reporter

Role of the Person Reporting

Student

Parent

School Staff

Teacher

Administrator

Clear selection

Description of data compromised

Description of the improper disclosure or data breach:

Any additional information relevant to the incident:

I certify that the information I have provided is true to the best of my knowledge. *

Yes

Submit

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