Unauthorized Records Disposition Incident Report

Documents the unauthorized removal, destruction, or loss of federal records and supports reporting to NARA under 44 U.S.C. Chapter 33.

Report Overview

• Date the incident was discovered
• Date reported
• Reporter name
• Reporter email
• Reporter phone
• Reporting office or program
• Type of incident
• Brief summary of what happened
  Describe the incident factually. Avoid speculation and include only information needed for records management review.

Affected Records

• Record series title
• Record series number or identifier
• Record category
• Record format
• Approximate volume affected
  Enter the best estimate available, such as number of folders, boxes, files, or records.
• Retention schedule reference
• Does the affected material contain sensitive information?
  Select any that apply. Do not include full identifiers or unnecessary PII in the description.

Incident Details

• Where did the incident occur?
• How was the incident discovered?
• Known or estimated timeframe of the incident
  Provide the best available estimate if the exact time is unknown.
• Suspected cause
• Describe other cause
• Detailed incident narrative
  Describe what happened, who was involved if known, what records were affected, and any observed evidence. Do not include unnecessary PII.

Immediate Containment and Notifications

• Immediate actions taken
• Describe other immediate action
• Date notifications were made
  If multiple notifications were made on different dates, include the earliest date here and provide details in the narrative.
• Who was notified?
• Evidence preserved?
• Evidence preservation details

Assessment, Review, and Submission

• Estimated impact
• Corrective actions recommended or already taken
• Upload supporting documents
  Attach any relevant logs, screenshots, emails, inventories, or other supporting records. Do not upload files containing unnecessary PII.
• I certify that the information provided is accurate to the best of my knowledge.
• Additional notes for the records officer