Copyright Infrigement Notification

Affected person or entity

MeMy company / organizationMy client

URL of copyrighted material

Details (Provide a description of copyrighted material) (Optional)

Full name or username of copyright owner

Your full name

Your authority to act on behalf of the owner

Phone

Fax (Optional)

Email address

Address

City

State/Province

Postal/Zip code

Country

I have strong reason to believe that the material in question has not been authorized for use or reproduction by law, by the copyright owner, or by any agent acting on behalf of the owner.

I state under the penalty of perjury that I am authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.

Typing your full name in this box acts as your electronic signature.