Use this Form for Reporting Possible Improper Disclosure or Breach of Information
Contact/Reporter Information - * please supply all information
First Name: *	Last Name: *
Phone Number: * (999-999-9999)	School District: *
Email Address: * We'll never share your email with anyone else.	Role/Relationship to Student: *
Information about the Possible Disclosure or Breach Event - * please supply all information
Description of the Event(s): * Details of the Disclosure(s) or Breach(es)
Description of the the Possible Disclosed Data: *
Description of How Reporter (You) Learned of Possible Disclosure: *
This webform securely submits this information to our database, and emails a notification to DPO@gstboces.org. You will receive an automated reply email confirming that your message was received.