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Thank You For Copyrighting Your Poetry with Register My Copyright.

Please complete the below form and submit it, alternatively, we can send you this form for you to complete.

 

  • Your Information
    1. Your Name:
    2. Your Email address:
  • Title of the Work
    1. Title of the Work:
    2. Previous, Alternative, or Contents titles (if necessary):
  • Authors (If there are more than one author, we will request this information from you)
    1. Author
      1. Name of Author:
      2. Year born: Year died (if applicable)
      3. Was the work made for hire?: Yes No
      4. Citizenship of author/domicile of author:
      5. Is this anonymous/pseudononymous: Yes No
      6. Nature of authorship (what part of the work was created by this author, "entire work" is acceptable):
    2. Are there additional authors? Yes No
  • Completed
    1. Year work was completed:
    2. Has this work been published?: Yes No
    3. Date of first publication (if published) (Month/Day/Year):
    4. Nation of first publication (if published):
  • Claimants (who claims/owns the rights - all authors is acceptable)
    1. Claimant:
    2. If the authors are different from the claimants, please explain why:
    3. Claimant's Address:
  • Previous Registration
    1. Was this previously registered?: Yes No
  • Derivative work or compilation
    1. Was this a derivative work?: Yes No