Personal Information Removal Request Form

For privacy reasons, you may have the right to ask for certain personal information relating to you to be removed.

This form is for requesting the removal of specific results for queries that include your name from Google Search. If you want to request removal of personal information from another Google product, please submit a request through that product's form, which you can reach at our Removing Content From Google page.

For example, if you want to request removal of personal information from Blogger, please submit a request on the relevant Blogger form.

When you make your request, we will balance the privacy rights of the individual concerned, with the interest of the general public, in having access to the information, as well as the right of others to distribute the information. For example, we may decline to remove certain information about financial scams, professional malpractice, criminal convictions or public conduct of government officials.

You will need a digital copy of an identification document to complete this form. If you are submitting this request on behalf of someone else, you will need to supply identification documentation for them.

* Required field

YOUR INFORMATION

Your own name, even if you are making the request on behalf of someone else who you are authorised to represent. If you are representing someone else, you must have the legal authority to act on their behalf.

If you are submitting this request on behalf of someone else, please specify your relationship to that person (for example: "parent", "solicitor"). We may ask for documentation confirming that you are authorised to represent this person.

To prevent fraudulent removal requests from people impersonating others, trying to harm competitors or improperly seeking to suppress legal information, we need to verify the identity of the person on whose behalf the request is made (the relevant individual). A passport or other government-issued ID is not required. You may obscure parts of the document (e.g. ID number) as long as the remaining information identifies the relevant individual. You may also obscure any photograph in the identification document, unless you are asking for removal of pages that include photographs of the relevant individual. Google LLC will use this information solely to help us assess and document the authenticity of your request, and will delete the copy within a month of closing your removal request except as otherwise required by law.

To upload more than one document, hold down the Ctrl or Command key while choosing files.

If you (or the relevant individual) have already asked us to remove URLs containing similar content, we can help you more quickly if you reply to the email that we sent to you (or the relevant individual) instead of sending a new notice.

If you would rather send us a new notice, enter the 14-digit reference number from the previous request. As an example, the format will be similar to 1-1111000001111. You can find it in the subject line of the email that we sent in response to the previous request.


IDENTIFY THE PERSONAL INFORMATION THAT YOU WANT REMOVED AND ITS LOCATION

If this notice concerns multiple reasons for infringement, please submit only the first one below. Then, click the "Add a new group" link below the text boxes to add another reason.

Click here for help with finding the URL.

Please enter one URL per line (Max 1000 lines)

For each URL that you provided, please explain:

(1) how the personal information identified above relates to the person on whose behalf this request is made; and
(2) why you believe the personal information should be removed

For example: '(1) This page is about me because a, b and c. (2) This page should be removed because x, y and z'.

Add a new group (Max 10 groups)

This should be the name that, when used as a search query, produces the results that you would like to remove. If you wish to submit multiple names (e.g. if your maiden name differs from your current last name), put a "/" between the names. For example, "John Smith/John Doe".

SWORN STATEMENTS

Please read the following statements, and tick the boxes to confirm that you agree.

Google LLC will use the personal information that you supply on this form (including your email address and any ID information), and any personal information that you may submit in further correspondence, for the purposes of processing your request and meeting our legal obligations. We may share details of your request with data protection authorities, but only when they require these details to investigate or review a decision that we have made. That will normally be because you have chosen to contact your national DPA about our decision. Where URL(s) have been removed from our Search results as a result of your request, we may provide details to the relevant webmaster(s) of the URL(s) that have been removed.

Please note that if you are signed into your Google account, we may associate your submission with that account.

SIGNATURE

MM/DD/YYYY (e.g. "12/19/2010")
e.g. John A. Smith
By typing your full name above, you are providing us with your digital signature, which is as legally binding as your physical signature. Please note that your signature must exactly match the first and last names that you entered at the top of this web form in order for your submission to be successful.