Secret Service Form 4017:
Cyber Threat/Network Incident Report
To ensure timely receipt of Network Incident Report information, SSF 4017 may
be submitted to the Secret Service electronically (via e-mail or FAX). The
SSF 4017 is available in PDF format.
If you experience problems working with the form, please contact the
Financial Crimes Division's Electronic Crimes Branch at Personnel Division
Electronic Help Line at (202) 406-5850.
Adobe Acrobat
Adobe Acrobat Portable Document Format (PDF) files can be printed and then
used in the same manner as any traditional paper form. They can be viewed and
printed with Adobe Acrobat software, including the free Acrobat Reader. This
software is available for use with several different computer operating systems,
including Windows 3.1, 95, 98, and NT, OS/2, Macintosh,and several Unix
versions, and can be obtained by clicking on the button below.
 PLEASE
NOTE: Forms provided on this site are screen-fillable Adobe Acrobat PDF Forms.
They may be completed on the screen before being printed for faxing or personal
delivery. However, in order to complete these forms on the screen, you must have
Adobe Acrobat or Adobe Acrobat Reader version 3.0 or above.
If you have the Acrobat software configured as a web browser plug-in
application you can fill-out and print the form within your web browser. If
you are using the free Acrobat Reader software, however, you cannot save the
form with the fill-in data for use at a later time. You will need to use the
purchased version of Adobe Acrobat in order to do this. The free reader software
will, however, allow you to save the blank form itself for use at a later time
if you are using the filler software as a web browser plug-in application. (For
more info, visit OPM's Adobe Acrobat page at
http://www.opm.gov/html/acrobat.htm)
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