Privacy/Proxy Registration Complaint Form

This form allows Internet users to submit one of the privacy/proxy complaints below to ICANN. The information provided to ICANN via the complaint forms may be forwarded to the contracted party. To remain anonymous, please request in the comment box.

[Items with an asterisk (*) are required]

Name *

Organization (if any)

Email *

Telephone Number

Registrar that is subject of complaint *

Domain Name that is subject of complaint

Privacy/Proxy provider that is subject of complaint

Select one or more complaints *

Failure to disclose or abide by service terms

Failure to provide abuse/infringement point of contact

Failure to disclose identity of privacy/proxy provider

Failure to provide or abide by terms of service and description of procedures

Brief Description of Problem *

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service.

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