Illinois Biometric Claims – Instagram

You have indicated that you have used Instagram. In order for us to commence legal proceedings against Instagram, we need to provide notice of claim to the company prior to filing. Instagram requires that the notice of claim contain certain specific information, including all of the information that is requested below. We will not disclose your personally identifiable information to any third parties other than for the limited purpose of prosecuting any claims against Instagram. For more information about how we protect your information, see our privacy policy.

For these reasons, we ask that you please provide all of the following information:

Full Name *

First

Last

Email *

Confirm Email

Instagram Username *

Second Instagram Username

(if you have a second account)

Email used to register for Instagram (if different from email above)

Confirm Email

Phone number used to register for Instagram

Residence Address

Street Name and Number *

Street Name (Line 2)

City *

State *

Zip Code *

Submitting this form does not create an attorney-client relationship between you and the attorneys of SG. We may collect, use, and process your data according to the terms of our Privacy Policy.