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1.
What Work is Being Registered?*
* Designates Required
Fields
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Type* |
Please select the type of work you want to protect. |
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Title* |
Please type in the title of your work
as shown on the copy which you intend to submit with your
application. |
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If a Serial Issue |
Examples: periodicals, newspapers, magazines,
bulletins, newsletters, annuals, journals, and other similar
works. |
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Previous or alternative
title |
If the work is known by another title, enter
it here. |
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Year of completion* |
Enter here the year of completion of the work you'll submit
with your application. |
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Date of publication (if
any) |
If the work was published, provide the
date of publication. |
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ISBN (if the work was
published) |
If the work was published, provide the
ISBN (International Standard Book Number). Do not
enter the dashes. |
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Nation of publication (if
any) |
Provide the nation where the work was first published. |
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Published as a contribution in a larger work? |
If the work you'll submit with this
application was published as part of a larger work,
provide the title of the larger work here. Examples of
such situations: the work is a song in a CD or an
article in a magazine. |
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If the larger work above
is a serial issue |
, then enter the related information
here. |
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If work was
preregistered, what is the PRE #? |
If you have a PRE #, enter it here. |
2. Author Information?*
* Designates Required
Fields
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The Author Is* |
Select the option which applies. Most of the
time the author is an individual person. The author is
generally an organization in case of "work made for hire."
[See more below under Author's Contribution]. |
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Individual |
Provide the required information if the
author is an individual. |
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Organization |
Provide the required information if the author is an
organization including DBA (doing business as), if any. |
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Year of Birth |
This is optional/supplemental
identification information of the author. If provided,
it becomes online public record. |
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Year of Death* |
This is required information if the author is deceased.
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Citizenship* |
Select US if the author has US
citizenship. If the author is a citizen of another
country, provide its name. |
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Domicile* |
Author's domicile is where his/her
permanent residence is. |
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Author's Contribution |
Work for hire is generally work
which is "prepared by an employee as a regular part of
his or her employment, or a work [which] is specially
ordered or commissioned...providing the parties agree in
writing that the contribution shall be considered a work
made for hire."
Anonymous can be selected "if
no natural person is named as
author on copies of the work and the work is not made
for hire." If this option is chosen here, "Anonymous"
should be typed in the author's first name box above.
Pseudonymous can be selected
"if the author is identified on
copies of the work only under a fictitious name and the
work is
not made for hire." If this option is chosen here,
provide the pseudonym in the box provided, and type
"Anonymous" in the author's first name box above. |
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The Author Created* |
Select the appropriate option(s) which
describes author's work. If none applies, select "Other"
and provide a brief description in the text box
provided. ["Do not give any of the following terms:
idea, process, procedure, system, method of operation,
concept, principle, discovery, title, or name. These
terms refer to elements not subject to copyright."] |
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Are there additional
authors? |
If Yes, enter their information in the
text box provided. |
3. Who is the Owner (Claimant) of the Copyright in
this work? * Designates Required
Fields
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The Claimant is the
Author* |
The Claimant (Owner) of the copyright is
either the author or the person or organization to whom the
copyright was transferred by the author or a rightful owner.
Select the option which applies. If the Claimant (Owner) is
not the author, select "No", and also select one of the
copyright acquiring options. If you chose "Other" here,
please explain in the text box provided. |
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The Claimant Is* |
Indicate here if the Claimant (Owner) is an
individual or an organization. Provide below the required
information for one of the two choices. |
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Individual |
Provide the required information if the owner is an individual. |
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Organization |
Provide the required information if the
owner is an
organization including DBA (doing business as), if any. |
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Claimant Address* |
Please provide owner's address here. The
address of the copyright owner will become part of the
public record. |
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Street Address* |
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City* |
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State/Zip Code* |
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Country* |
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E-mail/Phone* |
The e-mail and phone are needed for
communication during the application process. The e-mail
and phone you provide here will not become part of the
public record. |
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Are There Other
Claimants? |
If this work has more than one owner
(claimant), please provide the same information for each
additional owner in the text box provided. |
* Designates Required
Fields
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4. Any Limitation of Copyright
Claim? (Skip
section 4 if this work is all new).
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Complete this section only if the work is
based on "previously registered or previously published
material, material in the public domain, or material not
owned by this claimant." If that's the case, here you can
identify what is not claimed (excluded or previously
registered materials), and what is claimed (the new
material). |
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Excluded Material |
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If Other |
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Previous Registration(s),
if any |
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New Material Included
in this Claim |
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If Other |
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5. Rights and Permission
Contact
(Optional). |
This is the person who should be
contacted for permission to use the work. This is
optional contact information. The information provided
here becomes public record. |
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6. Correspondence Contact* |
This is the person the Copyright Office
should contact regarding this application. The
information provided only here will not be part of the
public record. |
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7. Mail Certificate To* |
This is the person to whom the
registration certificate should be mailed. The
information provided only here will not be part of the
public record. |
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