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Copyright Infringement Notice - Template, Sample Form Pro · US-law

✓ Valid in United States · drafted to comply with local law

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Copyright Infringement Notice - Template, Sample Form
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________

DMCA TAKEDOWN NOTICE
Notification of Claimed Copyright Infringement Pursuant to 17 U.S.C. § 512(c)(3)

VIA: ________

To the Designated Agent / Operator of:
________
________
________
________

Dear Designated Agent / Website Operator:

§ 1. Identity and Authority of the Complaining Party.

1.1. The full legal name of the complaining party is ________.

1.2. The complaining party is (check or specify) ________ the owner of the exclusive rights allegedly infringed, or a person authorized to act on behalf of the owner of such exclusive rights, as required by 17 U.S.C. § 512(c)(3)(A)(i).

1.3. If submitted on behalf of the owner, the name of the copyright owner is ________.

§ 2. Identification of the Copyrighted Work(s).

2.1. The copyrighted work(s) claimed to have been infringed are described as follows (and, where applicable, identified by copyright registration number):

________

Registration Number(s) (if any): ________

Location of the authorized original work(s): ________

§ 3. Identification of the Infringing Material.

3.1. The material that is claimed to be infringing, or to be the subject of infringing activity, and that is to be removed or to which access is to be disabled, is described as follows:

________

3.2. The infringing material is located at the following URL(s) or other location(s) reasonably sufficient to permit you to locate it:

________

3.3. The foregoing constitutes a representative list of the material claimed to be infringing.

§ 4. Contact Information of the Complaining Party.

Pursuant to 17 U.S.C. § 512(c)(3)(A)(iv), my contact information is as follows:

Mailing Address: ________
Telephone Number: ________
Email Address: ________

§ 5. Statement of Good-Faith Belief.

Pursuant to 17 U.S.C. § 512(c)(3)(A)(v), I have a good-faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, its agent, or the law.

§ 6. Statement of Accuracy and Authority Under Penalty of Perjury.

Pursuant to 17 U.S.C. § 512(c)(3)(A)(vi), I swear, under penalty of perjury, that the information in this Notice is accurate and that I am the copyright owner, or am authorized to act on behalf of the owner, of an exclusive right that is allegedly infringed.

§ 7. Acknowledgment of Liability for Misrepresentation.

§ 8. Request for Action.

I respectfully request that you expeditiously remove, or disable access to, the infringing material identified in § 3 above.

§ 9. Reservation of Rights.

Nothing contained in this Notice constitutes a waiver of any right or remedy of the complaining party or the copyright owner, all of which rights and remedies are expressly reserved. This Notice is provided without prejudice to, and shall not limit, any claim, right, or remedy available at law or in equity.

Respectfully submitted,

Signature: ________

Printed Name: ________
Title / Capacity: ________
Date: ________

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.