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Right to Be Forgotten

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 maWebCenters.com

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.

Full Legal Name

Your own name, even if you are making the request on behalf of someone else who you are authorized 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", "attorney"). We may ask for documentation confirming that you are authorized to represent this person.

Myself
A Client
A Family Member
A Friend
Other

Attach a legible copy of a document that verifies the identity of the person on whose behalf the request is made *

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. maWebCenters.com 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.

Yes No


IDENTIFY THE PERSONAL INFORMATION YOU WANT REMOVED AND ITS LOCATION

For each URL 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."

SWORN STATEMENTS

I represent that the information in this request is accurate and that I am authorized to submit this request.
I understand that maWebCenters.com will not be able to process my request if the form is not properly filled out or if the request is incomplete.
I consent to the processing of the personal information that I am submitting, as outlined below:
maWebCenters.com will use the personal information that you supply on this form (including your email address and any ID information) and any personal information 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.
SIGNATURE
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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.

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