[Your Full Name or Company 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 Takedown Notice
Dear [Service Provider Name / DMCA Agent],
1. Identification of Copyright Owner or Authorized Representative
I, [Your Full Name], am the owner of certain copyrighted material described below, or I am authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.
2. Identification of Copyrighted Work
The copyrighted work or works claimed to have been infringed are as follows:
-
Title or Description of Work: [Title or Description]
-
Author / Creator: [Name]
-
Copyright Registration Number, if available: [Registration Number]
-
Original URL or Source of Authorized Work, if available: [URL]
-
Additional Description: [Description]
Title or Description of Work: [Title or Description]
Author / Creator: [Name]
Copyright Registration Number, if available: [Registration Number]
Original URL or Source of Authorized Work, if available: [URL]
Additional Description: [Description]
If multiple copyrighted works at a single online site are covered by this notice, they are as follows:
[List of Works or Representative List]
3. Identification of Infringing Material
The material that is claimed to be infringing, or to be the subject of infringing activity, and that should be removed or disabled is identified below:
-
URL(s) of Allegedly Infringing Material: [URL]
-
Platform / Website Name: [Website Name]
-
Page Title or Description: [Title or Description]
-
Date Located, if relevant: [Date]
-
Additional Information to Help Locate the Material: [Screenshots, file name, account name, listing number, or other details]
URL(s) of Allegedly Infringing Material: [URL]
Platform / Website Name: [Website Name]
Page Title or Description: [Title or Description]
Date Located, if relevant: [Date]
Additional Information to Help Locate the Material: [Screenshots, file name, account name, listing number, or other details]
Please remove or disable access to this material.
My contact information is as follows:
Full Name: [Full Name]
Company Name, if applicable: [Company Name]
Mailing Address: [Address]
Phone Number: [Phone Number]
Email Address: [Email Address]
5. Good-Faith Statement
I have a good faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, the copyright owner’s agent, or the law.
6. Accuracy and Authority Statement
I state that the information in this notice is accurate, and under penalty of perjury, that I am the copyright owner, or I am authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.
7. Requested Action
I request that you act expeditiously to remove or disable access to the allegedly infringing material identified in this notice.
If you require any additional information to process this notice, please contact me using the information listed above.
8. Signatures
Sincerely,
Physical or Electronic Signature: __________________________
Name: [Your Full Name]
Title: [Title, if applicable]
Company: [Company Name, if applicable]
Date: [Date]