Copyrights

Copyright Information Form - to be Used for Mailing or Faxing a Copyright Application Request. If you wish to have general copyright information mailed to you, please use our Contact page.


NOTE: Please fill out multiple copies of form if there is more than one owner.

Title of Work
Name of owner of copyright
Telephone Number
Address of copyright claimant
Nature of Authorship (poem, book, art work - what is it?)
Citizenship of claimant
Date of Birth of claimant
Year of Death if applicable
Year in which work completed
Date (1) and Nation (2) of First Publication (if published)(1)
(2)

Note: Due to privacy issues, this form cannot be submitted electronically. The completed form should be printed, signed, dated, and forwarded with the copyright application fee to: Patent & Trademark Services, Inc., 6111 Saddle Horn Drive, Fairfax, VA 22030. You may call our toll-free number 888-404-1999 for the current application fee.



 

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