Personal, Confidential and Protected Health Information
Merchants may not post or upload any Materials that contain personally identifiable information, sensitive personal information, or confidential information, such as credit card numbers, confidential national ID numbers, or account passwords without consent from the person to whom the information belongs or who is otherwise authorized to provide such consent. Merchants may not use the Services to collect, store, or process any protected health information subject to the Health Insurance Portability and Accountability Act (“HIPAA”), any applicable health privacy regulation or any other applicable law governing the processing, use, or disclosure of protected health information.
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Email *
Full Name *
Address *
Store Website Link *
Please provide link(s) to the Materials that you believe contains personally identifiable information, sensitive personal information, or confidential information, such as credit card numbers, confidential national ID numbers, or account passwords. Include each link on a separate line and ensure you have provided a comprehensive list to each individual page with the content you would like to report and not just the main store URL.
Link to the product being reported *
Link to the product being reported
Link to the product being reported
Description of how you believe the Materials contains personally identifiable information, sensitive personal information, or confidential information, such as credit card numbers, confidential national ID numbers, or account passwords. *
Electronic signature ( Typing your name in the box below will act as your electronic signature) *
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