Customer
Notification of a Data Breach concerning Europäische Reiseversicherung AG
1. Identifier Details
First Name
*
Surname
*
Generali Legal Entity for which you are customer
E-Mail address
*
Telephone
*
2. Breach Details
Impacted Legal Entity
Notification Date
Personal Data typology
Name
Address
Date of birth
E-mail
Financial Details
Health Data
Policy Information
Insurance/claims details
Others
Number of individuals impacted by the breach (if known)
(Please specify a numeric value)
Cause of the Breach
Human error
Process failure
System issue
Unknown
Others
Breach Classification
Unauthorized disclosure of customer or employee personal data
Loss of mobile end devices (mobile phone, notebook, USB-Stick)
Burglary attempt
Malware
Access to data by unauthorized persons
Others
Data Breach details
*
Submit