Privacy breach form

Thank you for completing this form, we take any privacy breach's seriously.

What happens next

You’ll receive an acknowledgement from us as soon as practicable. The reported breach will be assessed to determine whether a privacy breach has occurred and whether any further information from you is required.

Where we believe a privacy breach is likely to cause serious harm, we will notify the Office of the Privacy Commissioner in accordance with the Privacy Act 2020.

How we use your information

We will use the information you give us only for the purpose of your intended interaction with us. More information can be found in our Privacy Notice and Privacy Policy.

Your privacy rights

If anyone believes NMIT has breached their privacy, they have the right to make a complaint to the Office of the Privacy Commissioner.

More information is available at the Office of the Privacy Commissioner’s website: privacy.org.nz(external link).

Your name

Email address

Phone number

Date when suspected privacy breach occurred

Time when suspected privacy breach occurred or was first identified

Is the breach ongoing?

Yes

Unknown

Description of the breach

Including cause of breach (if known) or how it was discovered.

Who has been affected by the breach?

Who has been affected and how many people (if known)?

What kind of information has been affected?