[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]
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]
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.
My contact information is as follows:
-
Full Name: [Full Name]
-
Mailing Address: [Address]
-
Telephone Number: [Phone Number]
-
Email Address: [Email Address]
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.
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]