Edit, Download, and Sign the PIH Health Data Security Incident Notice

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How do I fill this out?

To fill out this document, begin by reading the details carefully. Make sure you understand the incident and the information potentially involved. Follow the instructions provided to monitor your information and enroll in the identity monitoring services.

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How to fill out the PIH Health Data Security Incident Notice?

  1. 1

    Read the notice for information about the incident.

  2. 2

    Identify if your information was affected.

  3. 3

    Follow recommended steps to protect your information.

  4. 4

    Sign up for complimentary identity monitoring services.

  5. 5

    Contact Kroll if you have any questions.

Who needs the PIH Health Data Security Incident Notice?

  1. 1

    Individuals who received the notice from PIH Health due to potential exposure of their personal information.

  2. 2

    Patients of PIH Health looking to safeguard their health information.

  3. 3

    Anyone who monitors their identity and personal data.

  4. 4

    Financial institutions reviewing client interactions in light of data breaches.

  5. 5

    Law enforcement agencies tracking identity theft incidents.

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What are the instructions for submitting this form?

Submit this form by contacting Kroll at 1-833-963-0527 during business hours or via email at support@kroll.com. You may also choose to send the completed form via fax to 1-877-963-0527. Physical submissions can be mailed to Kroll's office at 2500 West 1st Avenue, Suite 977, San Francisco, CA 94143. For advice, ensure to follow up on your status at regular intervals to ensure proper assistance.

What are the important dates for this form in 2024 and 2025?

Important dates related to this form include the date of the incident on June 18, 2019, and the notification sent on January 7, 2020. Additionally, individuals are encouraged to enroll in identity protection services promptly to mitigate risks.

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What is the purpose of this form?

The purpose of this form is to inform affected individuals about a recent data security breach at PIH Health. It outlines the nature of the incident and specifies the types of personal information that may have been accessed. Furthermore, it provides necessary steps individuals should take to protect their information and the identity monitoring services available.

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Tell me about this form and its components and fields line-by-line.

This document contains various fields related to personal information and incident details.
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  • 1. Name: The name of the individual affected by the incident.
  • 2. Personal Information: Detailed personal and health information that may have been compromised.
  • 3. Contact Information: Information on how to reach affected individuals for further assistance.
  • 4. Instructions: Guidelines and recommendations for safeguarding personal information.

What happens if I fail to submit this form?

Failure to submit this form may result in a lack of necessary updates or assistance in protecting your personal information. Individuals may miss critical identity monitoring services and support from Kroll.

  • Identity Theft Risk: Without timely action, individuals may become victims of identity theft.
  • Lack of Protection: Failing to submit can leave your personal information unprotected.

How do I know when to use this form?

You should use this form if you received notification regarding the data security incident at PIH Health. It is essential for anyone potentially affected to understand the implications and to safeguard their information.
fields
  • 1. Notification Response: Responding to the notification from PIH Health regarding the incident.
  • 2. Personal Security Measures: Implementing measures to protect your personal information.

Frequently Asked Questions

What is this document about?

This document details a data security incident at PIH Health affecting personal and health information.

How can I monitor my information?

Follow the steps provided in the document to monitor your information and enroll in identity protection services.

Who can I contact for assistance?

You can contact Kroll for any questions or concerns regarding this incident.

What should I do if I spot suspicious activity?

Notify your financial institution immediately if you notice any suspicious activity.

Are there resources available for further information?

Yes, the document includes additional resources for safeguarding your information.

What dates should I be aware of?

Please refer to the important dates section in the document for specific deadlines and timelines.

Is there a phone number to contact for help?

You can reach Kroll at 1-833-963-0527 for assistance.

Can I share this document with others?

Yes, use the sharing options on PrintFriendly to distribute the document.

What are the identity protection services offered?

Complimentary identity monitoring services are offered through Kroll.

How can I ensure my info is secure going forward?

Regularly monitor your accounts and follow the recommendations outlined in the document.

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