Official Federal Forms > US Copyright Office
Short Form PA PA - Official Federal Forms
| Short Form PA Form. This is a national form and can be used in US Copyright Office . |
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4 Instructions for Short Form PA For works in the performing arts (except audiovisual works) HOW TO COMPLETE SHORT FORM PA · · · Type or print in black ink. Be clear and legible. Give only the information requested. USE THIS FORM IF-- 1. You are the only author and copyright owner of this work, and 2. The work was not made for hire, and 3. The work is completely new (does not contain a substantial amount of material that has been previously published or registered or is in the public domain) and is not an audiovisual work. If any of the above does not apply, you may register online at www.copyright.gov or use Form PA. NOTE: Short Form PA is not appropriate for an anonymous author who does not wish to reveal his or her identity and may not be used for audiovisual works, including motion pictures. NOTE: You may use a continuation sheet (Form __/CON) to list individual titles in a collection. Complete Space A and list the individual titles under Space C on the back page. Space B is not applicable to short forms. You must give a title. If there is no title, state "UNTITLED." Alternative title: If the work is known by two titles, you also may give the second title. Or if the work has been published as part of a larger work, give the title of that larger work, in addition to the title of the contribution. If you are registering an unpublished collection, give the collection title you want to appear in our records (for example: "Songs by Alice, Volume 1"). Be sure to keep a personal record of the songs you have included in the collection. If you want the certificate of registration to list the individual titles as well as the collection title, use a continuation sheet (Form___/CON). 1 Title of This Work Check the box or boxes that describe the kind of material you are registering. Check only the authorship included in the copy, tape, or CD you are sending with the application. For example, if you are registering lyrics and plan to add music later, check only the box for "lyrics." 5 6 7 Type of Authorship in This Work Signature of Author 2 3 4 · Name and Address of Author and Owner of the Copyright Sign the application in black ink and check the appropriate box. The person signing the application should be the author or his/her authorized agent. Give your name and mailing address. You may include your pseudonym followed by "pseud." Also, give the nation of which you are a citizen or where you have your domicile (i.e., permanent residence). Give daytime phone and fax numbers and email address, if available. Person to Contact for Rights/Permissions This space is optional. You may give the name and address of the person or organization to contact for permission to use the work. You may also provide phone, fax, or email information. Year of Creation Give the latest year in which you completed the work you are registering at this time. A work is "created" when it is written down, recorded, or otherwise "fixed" in a tangible form. This space must be completed. Your certificate of registration will be mailed in a window envelope to this address. Also, if the Copyright Office needs to contact you, we will write to this address. 8 Certificate Will Be Mailed Publication If the work has been published (i.e., if copies have been distributed to the public), give the complete date of publication (month, day, and year) and the nation where the publication first took place. 9 Deposit Account Complete this space only if you currently maintain a deposit account in the Copyright Office. MAIL WITH THE FORM-- The filing fee, in the form of a check or money order (no cash) payable to Register of Copyrights, and · One or two copies of the work. If the work is unpublished, send one copy, tape, or CD. If published, send two copies of the best published edition if the work is in printed form, such as sheet music, or one copy of the best published edition if the work is recorded on a tape or disc. Note: Inquire about special requirements for works first published outside the United States or before 1978. Copies submitted become the property of the U.S. government. Mail everything (application form, copy or copies, and fee) in one package to: Library of Congress, Copyright Office-PA, 101 Independence Avenue SE, Washington, DC 20559 QUESTIONS? Call (202) 707-3000 or 1-877-476-0778 (toll free) between 8:30 am and 5:00 pm, eastern time, Monday through Friday, except federal holidays. For forms and informational circulars, call (202) 707-9100 24 hours a day, 7 days a week. Download circulars and forms or register online at www.copyright.gov. PRIVACY ACT ADVISORY STATEMENT Required by the Privacy Act of 1974 (P.L. 93-579) The authority for requesting this information is title 17 U.S.C. §409 and §410. Furnishing the requested information is voluntary. But if the information is not furnished, it may be necessary to delay or refuse registration and you may not be entitled to certain relief, remedies, and benefits provided in chapters 4 and 5 of title 17 U.S.C. The principal uses of the requested information are the establishment and maintenance of a public record and the examination of the application for compliance with the registration requirements of the copyright code. Other routine uses include public inspection and copying, preparation of public indexes, preparation of public catalogs of copyright registrations, and preparation of search reports upon request. NOTE: No other advisory statement will be given in connection with this application. Please keep this statement and refer to it if we communicate with you regarding this application. American LegalNet, Inc. www.FormsWorkFlow.com Copyright Office fees are subject to change. For current fees, check the Copyright Office website at www.copyright.gov, write the Copyright Office, or call (202) 707-3000 or 1-877-476-0778. Privacy Act Notice: Sections 408-410 of title 17 of the United States Code authorize the Copyright Office to collect the personally identifying information requested on this form in order to process the application for copyright registration. By providing this information, you are agreeing to routine uses of the information that include publication to give legal notice of your copyright claim as required by 17 U.S.C. §705. It will appear in the Office's online catalog. If you do not provide the information requested, registration may be refused or delayed, and you may not be entitled to certain relief, remedies, and benefits under the copyright law
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