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Copyright Complaint Form
Copyright Owner Name (Company Name if Applicable)
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Copyright Owner Name (Company Name if Applicable) *
Your Full Legal Name
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Your Full Legal Name *
Your Title or Job Position
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Your Title or Job Position *
Telephone Number
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Telephone Number *
Fax Number
Fax Number
Street Address
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Street Address *
City
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City *
State / Province
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State / Province *
Zip / Postal Code
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Zip / Postal Code *
Country
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Country *
Description of the work(s) allegedly infringed
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Description of the work(s) allegedly infringed *
URL or other description of location of the work(s) allegedly infringing
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URL or other description of location of the work(s) allegedly infringing *
By checking the following boxes, I state under penalty of perjury that:
I am the owner, or an agent authorized to act on behalf of the owner of an exclusive right that is allegedly infringed;
I have a good faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, its agent, or the law;
This notification is accurate; and
I acknowledge that under Section 512(f) of the DMCA any person who knowingly misrepresents that material or activity is infringing may be subject to liability for damages.
Typing your full name in this box will act as your digital signature
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Typing your full name in this box will act as your digital signature *
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