Copyright Violation Form

 

 

Copyright Violation Form

Name(*)
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First and Last Name

Address(*)
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Home Address

City(*)
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State(*)
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ZipCode
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Fax
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Fax (optional)

Email
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Email (optional)

Title of Work(*)
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Title of Work. If more than one, separate by semicolon.

Descripcion of Infraction(*)
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Describe the material violated with enough details to help us identify the work (such as content, length, URL)

Good Faith Statement(*)
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Please check the box above to confirm statement is true.

Declaration(*)
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Please check the box above to confirm statement is true.

Digital Signature(*)
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Please type your full name.