Image Removal Request - Template, Sample Form Pro · AU-law
✓ Valid in Australia · drafted to comply with local law
Create your Image Removal Request - Template, Sample Form for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
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________
COPYRIGHT INFRINGEMENT NOTICE AND TAKEDOWN REQUEST
Pursuant to the Copyright Act 1968 (Cth)
From (Copyright Owner / Authorised Representative):
Name: ________
Address: ________
Email: ________
Telephone: ________
To (Recipient / Website Operator or Carriage Service Provider):
Name: ________
Address: ________
Email: ________
Website: ________
To whom it may concern,
1. Purpose of this notice
1.2 The material the subject of this notice (the Image) is published, hosted or otherwise made available at the following location (URL): ________.
2. Description of the copyright material
2.1 A description of the Image sufficient to enable it to be identified and located is as follows:
________
2.2 The Image was first created and/or first published on or about ________. A copy of the Image, together with such evidence of ownership as is available, is attached to and forms part of this notice.
3. Ownership of copyright
3.1 The Image is an original artistic work in which copyright subsists under section 32 of the Copyright Act 1968 (Cth).
3.2 I am the owner of the copyright in the Image, or am the person duly authorised to act on behalf of the owner of that copyright, being: ________.
4. Nature of the infringement
4.1 By reproducing and/or communicating the Image to the public, you have done acts comprised in the copyright in the Image within the meaning of sections 31 and 36 of the Copyright Act 1968 (Cth).
5. Statement and declaration
5.1 I have a good faith belief that the use of the Image in the manner described above is not authorised by me, the copyright owner, or by the copyright owner's agent, or by law.
5.2 I declare that the information contained in this notice is accurate, and that I am the owner of, or am authorised to act on behalf of the owner of, the copyright that is being infringed. This declaration is made knowing that it may be relied upon and that making a false or misleading statement may have legal consequences.
6. Action requested
6.1 I require that you expeditiously remove, or disable access to, the Image at the URL identified in clause 1.2 and any other copies or instances of the Image hosted, cached or made available by you.
6.2 Please respond to me in writing no later than ________ to confirm that this notice has been received and that the Image has been removed or disabled.
7. Reservation of rights
7.1 Nothing in this notice constitutes a waiver of any of my rights or remedies, all of which are expressly reserved.
7.2 If the Image is not removed within the time specified above, I reserve the right to pursue all remedies available to me under the Copyright Act 1968 (Cth), including an application for injunctive relief, damages or an account of profits, and additional damages, without further notice. This notice is governed by the laws of ________.
7.3 This notice is sent without prejudice to my rights.
Yours faithfully,
________
________
Date: ________
Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.