Official Federal Forms > US Copyright Office
Short Form TX TX - Official Federal Forms
| Short Form TX Form. This is a national form and can be used in US Copyright Office . |
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4 instructions for short Form tX For nondramatic literary works, including fiction and nonfiction, books, short stories, poems, collections of poetry, essays, articles in serials, and computer programs HoW to CoMPLete sHoRt FoRM tX · Typeorprintinblackink. · Beclearandlegible. · Giveonlytheinformationrequested. Note: You may use a continuation sheet (Form __/CON) to list individual titles in a collection. Complete Space A and list the individual titlesunderSpaceConthebackpage.SpaceBisnotapplicabletoshort forms. 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). If any of the above does not apply, you may register online at www.copyright.gov or use Form TX. Note: Short Form TX is not appropriate for an anonymous author who does not wish to reveal his or her identity. You must give a title. If there is no title, state "UNTITLED." If you are registering an unpublished collection, give the collection title you want to appear in our records (for example: "Joan's Poems, Volume 1"). Alternative title: If the work is known by two titles, you also may give the second title. If the work has been published as part of a larger work (including a periodical), give the title of that larger work in addition to the title of the contribution. 1 Title of This Work registering a story and are planning to add illustrations later, check only the box for "text." A "compilation" of terms or of data is a selection, coordination, or arrangement of such information into a chart, directory, or other form. A compilation of previously published or public domain material must be registered using a standard Form TX. 2 3 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. 6 Signature of Author 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. 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. 7 Person to Contact for Rights/Permissions 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, stored in a computer, or otherwise "fixed" in a tangible form. 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. 4 5 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 9 Deposit Account Complete this space only if you currently maintain a deposit account in the Copyright Office. Type of Authorship in This Work Check the box or boxes that describe your authorship in the copy you are sending with the application. For example, if you are 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. If published, send two copies of the best published edition. (If first published outside the U.S., send one copy either as first published or of the best edition.) Note: Inquire about special requirements for works first published 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-TX 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 law. 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. Examined By 3 Short Form TX UNITEDSTATESCOPYRIGHTOFFICE REGISTRATIONNUMBER For a Nondramatic Literary Work E
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