Counter-notice Submission Form

Counter Notice Submission Form

Use this form to report content on Wellbee Social that you believe has been removed in error.

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Name

First

Last

Please provide your full legal name

Please provide your contact information

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email Declaration the

Identification of the Material Removed

Please provide URL(s) and/or description of the material removed

Accuracy

I have a good faith belief that the material was removed or disabled as a result of mistake or misidentification.