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Copyright Intake Form

Please fill in all appropriate fields in the form below, and submit to us. We’ll then follow up with you directly.

Contact Information

Company Contact Information
(If registering copyrighted material on behalf of an organization)

I. CATEGORY OF WORK TO BE REGISTERED
Place an “X” next to the category that best describes the work being registered

II. CREATION AND PUBLICATION

Has the work been published?
A work is published when copies are distributed to the public through sale, lease, or lending. A work is not published because you merely printed or made copies of it. For a website, if it has already been posted to the Internet, it is considered "published."
Is this Work a contribution to a periodical or serial (such as a magazine or newsletter)?

III. DERIVATIVE WORK AND COMPILATIONS

Is this Work a derivative work or compilation based on pre-existing works?
Was this Work previously registered with the U.S. Copyright Office?

IV WORK MADE FOR HIRE
If the work is being registered as a “work made for hire,” please complete this section. A “work made for hire” is a work created by an employee within the scope of his or her employment; or is work specially ordered or commissioned if the parties agree in writing that the work be considered a work made for hire. If the work is made for hire, the employer or other person for whom the work was prepared is considered the author.

V. AUTHOR'S
Please provide the following information for each of the authors, if more than one:

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