Request Manual Removal Form

Request manual removal

Complete all fields and select your government-issued photo ID, complete the security check, then verify your email. An administrator will review your identity before removing personal information. The NPN and available state license numbers remain in the limited record.

First name

Last name

Street address

State

City

ZIP code

Phone number

Email address

NPN

Profile page URL

Government-issued ID upload Required

Upload a clear image of your government-issued photo ID. The name on the ID must match the name on the profile. You may redact the document number (such as a driver license or ID number) and date of birth. The image must otherwise be unedited, with the name, photo and issuing government visible.

Government-issued photo ID

I certify that I am the individual on this profile and the ID complies with the identity and redaction requirements above.

Accepted: JPG, PNG or WebP, up to 5 MB. Your image is stored privately and deleted after review.

Complete the security check to enable Send verification code.

Request Manual Removal Form

Request manual removal

Government-issued ID upload Required

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