Notice & Takedown Form

• By filling in this form you can report a complaint about material or information that can be found on our or a website hosted by us.
• We will process your complaint as quickly as possible but no later than within 7 working days, if necessary in consultation with an adviser.
• In the case of an emergency, we will process the complaint within 24 hours to prevent further damage. We decide ourselves whether there is an urgent report.
• We will only handle fully and truthfully completed complaint forms.
• We only use your personal data for handling the complaint and we only store your data for the duration of the handling.

Enter the following details:

I am:
A user of a website hosted by usParent of user under 16 years of age of a website hosted by usA copyright owner of copyrighted work that is published on a website hosted by usA proprietor of a published trademark (proof of registration number) that is published on a website hosted by usOtherwise, namely:

Proof

Always include as much evidence as possible with your complaint such as: URL, other description of the material being complained about, if applicable name / alias / username of the person submitting the complaint, screenshot.

What is the response requirement?
Removal / blocking of the materialIssue name and address of website ownerRespond to the publication on the WebsiteOtherwise, namely:

What is the basis of the complaint:
Infringement of copyright, trademark, trade name or other rights of the reporterRacist, hate speech or discriminatory statementReprimand, slander, insult or threat to the reporterViolation of privacy or portrait rights of the reporter (incl. Stalking)Child pornography or other illegal pornographic publicationPornographic or otherwise sexual image or textComputer crime (hacking, viruses, etc.)Publishing your personal data without your permissionOtherwise, namely:

Explanation of the report (free text):



If the report concerns a violation of a right:
I am the beneficiary of the right to which an infringement has been committed or I am entitled to act on behalf of the beneficiary.

Have you tried to access the website yourself?

YesNo

Is there an urgent report?

There can only be urgency if the unlawful or unwanted information is unmistakably unlawful and the presence of the information on the Website causes direct and major damage to you. We assess your motivation, if necessary in consultation with our legal advisors.

Yes, there is an urgent report.

Statement:
I have completed the form truthfully, the information provided is correct and I, the reporter, will compensate all damage if it appears that I have provided incorrect information.
I accept the Proxeuse terms and conditions as they can be found on www.proxeuse.nl/algemene-voorwaarden
I agree with the privacy policy as it can be found at www.proxeuse.nl/privacybeleid

Information: If the submit button is not clickable, ensure that the Statement, Terms and Conditions and Privacy Policy are accepted. You will receive an automatic message confirming receipt of the form, if you do not receive it within 12 hours, you should view your spam folder or contact customer service.