Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Counter Notification form
Response to an Allegation of Infringement
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Filmhub username
*
Your answer
Name of Infringed work
*
Your answer
Your relationship to the infringed work
*
Rights Owner
Authorized Agent of Rights Owner
Response to Claim
*
I agree to transfer the title to the person making the Allegation of Infringement
I CONTEST the Allegation of Infringement
The Following Statement is true
*
"I consent to the jurisdiction of the Federal District Court for the Central District of California."
Required
The Following Statement is true
*
"I will accept service of process from the person(s) making the infringement claim or his/her/its agent."
Required
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Filmhub.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report