Copyright Office Form

June 29, 2010

in Office Forms

The use of a copyright office form is to establish whether a particular piece of work or information has been copyrighted. These forms are also used to register something that you wish to copyright. The form will be processed and accepted or rejected. Below is a sample copyright office form.

Sample Copyright Office Form


INDICATE THE INFORMATION THAT YOU REQUIRE:

Registration ______  Renewal _______ Search _______

TYPE OF WORK:

Book ______________ Music ________________ Motion Picture ______________

Drama ________________ Sound Recording ____________ Photography ___________

Artwork _____________ Computer Program __________________

SPECIFICS OF WORK:

Title: ___________________________

Author/ creator/ designer/ owner: ___________________________

Copyright claimant (If known) ___________________________ (Name in copyright notice)

Approximate year date of publication/ creation: ___________________________

Registration number (If known): ___________________________

Other identifying information: ___________________________

If you need more space please attach additional pages.

Name: ___________________________

Date: ___________________________

Address: ______

_____________________

Daytime Telephone No: ___________________________

Fee enclosed? __________.  Amount ($)

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