Copyright Infringement Notice - Template, Sample Form

✓ Valid in United States

Create your Copyright Infringement Notice - Template, Sample Form for use in United States. 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.

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To: ________
________
________

Dear Website Operator:

I am writing to make a claim of copyright infringement under the Digital Millennium Copyright Act, or DMCA.

My full legal name is as follows: ________.

The works that are infringing can be described as follows:

________

The works can be found at the following URLs:

________

This can be considered a representative list.

My contact details are as follows:

________
________
________

I have a good-faith belief that the use described herein is not authorized by the copyright owner or other intellectual property rights owner, by its agent, or by law.

Signature:

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