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 content from the Google product you have selected. If you want to request removal of personal information from another Google product, please submit a request through that other product’s form, which you can reach at our Removing Content From Google page.

For example, if you want to request removal of specific results in Google Search for queries that include your name, please submit a request on the relevant Google Search 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.

* Required field

Your information

Country of residence *

Contact email address *

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.

I am acting on behalf of... *

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

Your legal relationship to the person on whose behalf this request is being made *

Subject of this request

First name *

The full legal first name of the person you are representing, even if it is yourself. If you are representing someone else, you must have the legal authority to act on their behalf.

Last name *

The full legal last name of the person you are representing, even if it is yourself. If you are representing someone else, you must have the legal authority to act on their behalf.

Have you filed a previous request?Add additional

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 we sent 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 the reference number in the subject line of the email we sent in response to the previous request.

Please provide a valid case ID. Do not include spaces or brackets.

Identify the personal information you want removed

The URL(s) for the content containing the personal information you want removed *Add additional

If you have many URLs to report, we recommend submitting between 10 to 100 per notice for the fastest possible processing time. You can submit multiple URLs by clicking the "Add additional" link below.

Please enter a valid URL. 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.).

URLs that begin with business.google or services.google are not accepted.

YouTube URLs are not accepted.

Please note that we cannot accept your request if any of the URLs you submitted are invalid.

Describe the personal information that you want removed *

For example, "a photo of me".

Reason for removal *

For each URL you provided, please explain:

how the personal information identified above relates to the person on whose behalf this request is made; and
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

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

I consent to the processing of the personal information that I am submitting, as outlined below: *

Google LLC, or Google Ireland for users from the European Economic Area or Switzerland, 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.

When content has been removed from our Products, we may provide details to the relevant owner(s) of the content that has been removed.

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

Please check to confirm

I represent that the information in this request is accurate and that I am authorized to submit this request. *

Please check to confirm

I understand that Google will not be able to process my request if the form is not properly filled out, or if the request is incomplete. *

Please check to confirm

Signature *

By typing your full name below, you are providing us with your digital signature, which is as legally binding as your physical signature. Your signature must exactly match the first and last names that you entered at the top of this form in order for your submission to be successful.

Your signature must exactly match the first and last names that you entered at the top of this form

Signed on this date of Wed, 01 Dec 2021