Data Breach Notification

Nebraska law requires individuals and commercial entities to provide notice of a security breach to the Attorney General’s Office under certain circumstances pursuant to the Financial Data Protection and Consumer Notification of Data Security Breach Act of 2006. Notice can be submitted through the electronic form below. Alternatively, if you would like to submit a data breach notification form by mail, you can print a pdf version of the form here. Once you have completed the form, please mail it to the address listed below.


Office of the Attorney General
Consumer Affairs Response Team
2115 State Capitol, Lincoln, NE 68509


Name and address of entity or person that owns or licenses the data subject to the breach



Type of Organization



Number of persons affected



Dates (mm/dd/yyyy)



Manner of notification to affected persons




Attach a copy of a sample notification letter

Total file size for all files cannot exceed 17MB.




Type of breach (select all that apply)










Information acquired (select all that apply)













Security Authentication Required