Proxy Service Abuse Complaint Form
Report suspected abuse of proxy services. Please provide as much detail as possible to help us investigate efficiently.
Your full name
*
First Name
Last Name
Your email address
*
example@example.com
Proxy service or provider name
*
Proxy service or provider website (if applicable)
Describe the abuse incident
*
Affected destination, website, or account (if relevant)
Date and time of incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
How frequently has this abuse occurred?
*
Once
Occasionally
Repeatedly
Ongoing
Describe the impact of the abuse
*
Upload evidence (screenshots, logs, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Desired follow-up action
Submit Complaint
Should be Empty: