Illicit Content Notification Form

This form requires between 5 to 10 minutes to be filled out correctly. You can save it at any time and resume later using the save function displayed at the bottom of the page.

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Your Information

Who are you?*

First Last

Your name, even if you are sending a request on behalf of a third party. If you represent a third party, you must be legally authorized to act on their behalf.

Contact Email*

In case we need to contact you

Your Role*

You are intervening for:

A company

A individual

Both

Information Regarding the Individual

Who is the individual concerned?

Myself

Someone else

What is their name?*

First Last

Their role*

Information Regarding the Company

Company Name*

Company Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Company Identification Number

A number that clearly identifies the company.

Does this company currently have a website?*

Yes

URL of the website's legal notice*

Here, you need to indicate a specific page of the website that displays the legal notice where the identity of the company can be confirmed.

Content to Moderate

This section must be completed carefully in order to bring the potentially illicit content to our attention with precision. The more specific the details are, the higher your chances are that the content will be modified or removed.

List of Contested Contents

Declaration on Honor

For reference, article 6.1.4 of the LCEN: It is punishable by a penalty of one year’s imprisonment and a fine of 15,000 Euros for any person to present content or an activity to platforms as being illegal with the intent of having it removed or stopping its dissemination, while knowing this information to be inaccurate.

I declare on my honor and believe in good faith that the identified content(s) is/are illegal.*

Check the box to confirm

To my knowledge, the information I have provided above is accurate.*

Check the box to confirm

Signature

Signature*

By typing your full name below, you provide us with your digital signature, which has the same legal value as your handwritten signature. For your request to be considered, your signature must exactly match the first and last name you indicated at the top of this form.