DMCA Counter Notice Template

[Your Full Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]

Date: [Date]

To: [Service Provider Name / Designated DMCA Agent]
[Agent Address]
[City, State, ZIP Code]
[Agent Email Address]

Subject: DMCA Counter Notice

Dear [Service Provider Name / DMCA Agent],

1. Purpose of This Counter Notice

I am submitting this DMCA Counter Notice in response to the removal of, or disabling of access to, material that I posted on your service.

I request restoration of the material identified below because I have a good-faith belief that it was removed or disabled as a result of mistake or misidentification.

2. Identification of Removed or Disabled Material

The material that was removed or to which access was disabled is described as follows:

• Title or Description of Material: [Title or Description]

• Type of Material: [Text / Image / Video / Audio / Listing / Post / Other]

• Account, Channel, Username, or Profile Name: [Name]

• Date of Removal or Disablement, if known: [Date]

3. Location of Material Before Removal

The location where the material appeared before it was removed or disabled was:

• URL or Exact Online Location: [URL]

• Platform / Website Name: [Platform Name]

• Additional Identifying Information: [Post ID / Listing Number / File Name / Other]

4. Good-Faith Statement Under Penalty of Perjury

Under penalty of perjury, I state that I have a good-faith belief that the material identified above was removed or disabled as a result of mistake or misidentification of the material to be removed or disabled.

5. Subscriber Identification and Contact Information

My contact information is as follows:

• Full Name: [Full Name]

• Mailing Address: [Address]

• Telephone Number: [Phone Number]

• Email Address: [Email Address]

6. Consent to Jurisdiction and Service of Process

Complete the applicable statement below:

If you are located in the United States:
I consent to the jurisdiction of the Federal District Court for the judicial district in which my address is located, and I will accept service of process from the person who submitted the original DMCA takedown notice under 17 U.S.C. § 512(c)(1)(C), or that person’s agent.

If you are located outside the United States:
I consent to the jurisdiction of the Federal District Court for any judicial district in which the service provider may be found, and I will accept service of process from the person who submitted the original DMCA takedown notice under 17 U.S.C. § 512(c)(1)(C), or that person’s agent.

7. Additional Information

Any additional information that may help identify the removed material or process this counter notice is as follows:

[Optional Additional Information]

8. Signatures

Sincerely,

Physical or Electronic Signature: __________________________
Name: [Your Full Name]
Date: [Date]