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Search removal request under data protection law in Europe

Background

In May 2014, a ruling by the Court of Justice of the European Union (C-131/12, 13 May 2014) found that certain people can ask search engines to remove specific results for queries that include their name, where the interests in those results appearing are outweighed by the person’s privacy rights.

When you make such a request, we will balance the privacy rights of the individual with the public’s interest to know and the right to distribute information. When evaluating your request, we will look at whether the results include outdated information about you, as well as whether there’s a public interest in the information — for example, we may decline to remove certain information about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 a form of identification to complete this form. If you are submitting this request on behalf of someone else, you will need to supply identification for them. Fields marked with an asterisk * must be completed for your request to be submitted.

Please complete all required fields.

Personal information

This should be the name that, when used as a search query, produces the results you would like to delist. If you wish to submit multiple names (e.g. if your maiden name differs from your current last name), please put a "/" between the names. For example, "John Smith / John Doe".
Please enter your 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.
(The email address where we will contact you with updates about your complaint)
Contact email address

Search results you want removed from the list of results produced when searching for the name

Identify each result in the list of results that you want removed by providing the URL for the web page that the result links to. The URL can be taken from your browser bar after clicking on the search result in question. If you wish to submit more than one URL in this request, please click "Add additional" for each additional URL. Learn more about how to find the URL of a page.
Add additional
Please enter a valid URL that appears in Google's search results. The URL you entered may not be a complete URL, meaning it may be broken with ellipses ("..."), have a space (" ") in the middle or at the end, or be missing key elements of a URL (such as missing "http://", ".com", ".org", etc.). Please note that we cannot accept your request if any of these URLs are invalid.
For example:

http://example_1.com
This URL is about me because... This page should not be included as a search result because...
http://example_2.com
This URL is about me because... This page should not be included as a search result because...
You must provide a copy of your photo ID.
I represent that the information in this request is accurate and that I am the person affected by the web pages identified, or I am authorized by the person affected to submit this request. *
Please note that we will not be able to process your request if the form isn't properly filled out or if the request is incomplete.

Signature

By typing your name below and clicking "submit", you are consenting to the processing of the personal information that you submit as outlined below and you are representing that the above statements are true, that you are requesting the removal of the search results identified by the URLs you have listed above, and that, if you are acting on behalf of another persons, you have the legal authority to do so.

Google Inc. 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. We may provide details to webmaster(s) of the URLs that have been removed from our search results.

Please type your full name here
Please enter your signature.
Please enter the date.
* Required field