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  1. Click ‘Get Form’ to open SHP-71.doc in the editor.
  2. Begin by filling out the 'Agency Information' section. Enter your agency name, ORI/OCA number, address, city, state, zip code, and contact details including area code and telephone number.
  3. Next, provide the 'Point of Contact' information. Fill in the last name, first name, email address, and phone number of the individual responsible for this report.
  4. In the 'Incident Details' section, input the date and time of the incident discovery. Specify the location and describe any systems or data affected.
  5. Select the nature of the incident by checking one or more boxes that apply. Provide a detailed description of the incident in the designated area.
  6. Indicate the current status of the incident by checking one option from 'Current Incident Status'.
  7. Assess system impact and check one option under 'System Impact'.
  8. If assistance from CJIS Information Security Unit is needed, check 'Yes' or 'No'.
  9. Finally, review all entries for accuracy before submitting. You can print or reset the form as needed.

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