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Federal Bureau of Investigation Federal Bureau of Investigation
Home • Seeking Victim Information in the INTEGRIS Health Cyber Incident

Seeking Victim Information in the INTEGRIS Health Cyber Incident

Seeking Victim Information in the INTEGRIS Health Cyber Incident

The FBI’s Oklahoma City Division is seeking to identify victims who were contacted by or engaged with anyone claiming responsibility for the INTEGRIS Health cyber incident.

If you and/or your minor dependent(s) were contacted by or engaged with anyone claiming responsibility for this cyber incident, or have information relevant to this investigation, please fill out this short form.

Also, if you know anyone who was contacted by or engaged with anyone claiming responsibility for this cyber incident, please encourage them to visit this website and complete the form.

The FBI is legally mandated to identify victims of federal crimes it investigates. Victims may be eligible for certain services, restitution, and rights under federal and/or state law. Your responses are voluntary but may be useful in the federal investigation and to identify you as a potential victim. Based on the responses provided, you may be contacted by the FBI and asked to provide additional information. All identities of victims will be kept confidentia.

Additional Resources:
DOJ Office for Victims of Crime - Help for Victims

Contact Information
Date of Birth  
/ /  
1. I am filing this form out on behalf of:



2. If filling out this form for a minor dependent(s), please provide the minor dependent’s first name, last name, and date of birth

Question 2 Fields
Date of Birth
/ /  
3. Did you or a minor dependent(s) receive any emails asking for money in exchange for not releasing/selling your personal information?


5. Did you pay to have your information excluded from release?


Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/doj-systems-records#doj