# Search Engine Erasure Templates — Orion Data Vault Corp

## Delisting Request Assessment Template

```
DELISTING REQUEST ASSESSMENT
Reference: DELIST-YYYY-NNNN
Date: YYYY-MM-DD
Assessor:

DATA SUBJECT: [Name / Pseudonymised reference]
SEARCH ENGINE(S): [Google / Bing / Other]
URL(S) FOR DELISTING:
1. [URL] — Summary of content:
2. [URL] — Summary of content:

GROUNDS CITED:
□ Art. 17(1)(a) — Data no longer necessary
□ Art. 17(1)(c) — Successful objection
□ Art. 17(1)(d) — Unlawful processing

EDPB 13-POINT ASSESSMENT:
| # | Criterion              | Assessment | Favours           | Strength |
|---|------------------------|------------|-------------------|----------|
| 1 | Role in public life    |            | Delisting/Refusal |          |
| 2 | Nature of information  |            |                   |          |
| 3 | Accuracy               |            |                   |          |
| 4 | Relevance              |            |                   |          |
| 5 | Age of information     |            |                   |          |
| 6 | Source                 |            |                   |          |
| 7 | Context of publication |            |                   |          |
| 8 | Sensitivity            |            |                   |          |
| 9 | Impact on data subject |            |                   |          |
|10 | Access context         |            |                   |          |
|11 | Minor                  |            |                   |          |
|12 | Criminal data          |            |                   |          |
|13 | Legal obligation       |            |                   |          |

BALANCE:
- Factors favouring delisting: [count]
- Factors favouring refusal: [count]
- Strong delisting factors: [count]
- Strong refusal factors: [count]

DECISION: □ APPROVE  □ REFUSE  □ PARTIAL
REASONING: [Detailed written justification]

Assessed by: _________________ Date: _________
DPO Review: _________________ Date: _________
```

## Delisting Submission Tracker

| Search Engine | Submission Date | Reference | Response Date | Outcome | Verified |
|---------------|-----------------|-----------|---------------|---------|----------|
| | | | | | |