# Fictional private disclosure worksheet

Training use only. Use supplied fictional text, an approved alias, and the facilitator's classroom channel. Do not submit this worksheet to a real organization or include credentials, personal data, exploit payloads, or production evidence.

- Case / report ID:
- Course and exercise version:
- Reporter alias and facilitator:
- Authorized classroom recipient / channel:
- Authorization reference, target label, scope, exclusions, and time window:
- Stop contact and stopping conditions:
- Summary of the fictional observation:
- Evidence: fixture name, line, UTC time, and exact supported claim:
- Safe reproduction from supplied text only:
- Observed facts:
- Inference and confidence:
- Unknowns / limits of the excerpt:
- Evidence-supported impact; no claim about a real system:
- Proposed defensive mitigation:
- Fictional owner and acceptance condition:
- Tabletop retest steps and required evidence:
- Acknowledgment and next review date:
- Retention / deletion date for the worksheet:

Before sharing, verify authorization and recipient, remove unnecessary data, and mark unsupported claims as unknown. Pause and ask the facilitator if any step would require contacting a system or taking an external action. Record the eventual mitigation review and retest result in the same report.