TAKE IT DOWN Act removal request

Subject: TAKE IT DOWN Act removal request concerning nonconsensual intimate imagery

To [PLATFORM OR SITE NAME]:

I am [YOUR FULL NAME]. [WHO IS SENDING THIS]

The content appears here:
[LINK TO EACH POST]

Additional information to help locate the content:
[ANYTHING ELSE THAT HELPS THEM FIND IT (OPTIONAL)]

The content [IS IT REAL OR FAKE?] the identifiable person described above.

The identifiable person has a good-faith belief that this intimate visual depiction was published without their consent.

Relevant information:
[BRIEF EXPLANATION]

Please remove the reported depiction as required by Section 3 of the TAKE IT DOWN Act, as soon as possible and no later than 48 hours after receiving this valid request, and make reasonable efforts to identify and remove known identical copies.

Please contact me at:
[HOW THEY CAN REACH YOU]

Please acknowledge receipt and provide a reference number and outcome.

Electronic signature: [YOUR FULL NAME]
Date: [DATE]