Newsworthy DMCA Claim Form
Description of Infringement
Sign in to Google to save your progress. Learn more
Title of infringing post on website: *
URL of infringing post on website: *
Description of the work being infringed: *
Your Information
Email:
Name of your organization:
Your full legal name:
Mailing address:
Telephone number:
Copyright Ownership
Your relationship to the copyright holder:
Clear selection
Declarations and Signature
I hereby declare:
Please note:
    You may be subject to liability if you knowingly make a material misrepresentation that activity is infringing.
    We may provide any information you submit in this form to third parties, including Chilling Effects.
    If you don't want to use this form, please see our DMCA page for other ways to submit claims.

Type your name to provide your digital signature: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Raxan.net.

Does this form look suspicious? Report