Cybersecurity Incident Reporting Form

Please use this form if you have identified a security incident, indications of active exploitation, or a security-relevant malfunction in an SSV product.

The information helps us carry out an initial technical assessment and, where appropriate, submit a report to the authorities required under the EU Cyber Resilience Act (CRA).

If you are unsure about a question or detail, simply leave the relevant field blank.

Contact details
Title Ms Mr Mx
First name		Last name *
Email address *
Company/organisation *		Department
Telephone number		Customer number
How may we contact you? * By telephone    By email    By telephone or email
Product and operating environment
Product *		Model / variant
Serial number		Number of affected units
Firmware version		Operating system version
Affected site / installation		Countries of deployment
Incident classification
Short title / subject *
Report type * iSecurity incidentAn event that has affected, or may affect, the security of a product, system, data or service.Suspected actively exploited vulnerabilityThere are indications that a vulnerability is currently being used in an attack or unauthorised access attempt.Security notice without confirmed exploitationA potential vulnerability or security issue is known, but there is no confirmed evidence of exploitation. Please select Security incident Suspected actively exploited vulnerability Security notice without confirmed exploitation		Urgency * Please select Critical High Medium
Are there indications of active exploitation? * Please select Yes No Unknown		Indications of unlawful or malicious activity? * Please select Yes No Unknown
Discovered on		Estimated occurrence date
CVE-ID		EUVD-ID
Which security objectives are affected? iAvailabilityThe product, service or data may be unavailable or no longer usable when needed.IntegrityData, firmware or system behaviour may have been altered without authorisation.ConfidentialityProtected information may have been accessed or disclosed without authorisation.AuthenticityThe identity, origin or trustworthiness of a communication partner, component or data may no longer be verifiable. Availability    Integrity    Confidentiality    Authenticity
Description of the incident *
Indications of active exploitation, unauthorised access or attack patterns
Observed impact on the product, installation, data or operations
Measures already taken by the customer *
What support do you expect from SSV?
Files
Logs, screenshots, PCAPs, PDFs or ZIP files (max. 5 MB per file) Permitted file types: txt, log, pdf, png, jpg, csv, json, zip, pcap. You can select several files at once.
Do the attachments contain sensitive data? Yes    No    Unknown
Privacy protection

Please consent to data processing:

Yes, I have read the privacy policy and consent to data processing in accordance with the GDPR. The information may be used for incident assessment and, where appropriate, for a CRA report.