Group Unpublished Copyright Registration Form

1
Name
First Name
Last Name
2
Artist/Stage Name
First Name
Last Name
3
Email
example@example.com
4
Phone Number
Please enter a valid phone number.
5
AddressRegistration certificates will be mailed to this address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Title of works (song/album/project name)* This field is required.You may register up to 20 unpublished works on the same application created by the same author or co-author. Separate each title with a comma.
7
Type of Work* This field is required.Sound Recording (Rights to master recordings) Musical Composition (Rights to lyrics and/or music)
Sound Recording
Musical Composition
Both
8
Lyric Author Information* This field is required.Please list the full names of each lyrical author.
9
Music Author Information* This field is required.Please list the full names of each musical author.
10
Was this a work made for hire?Note: A work made for hire means someone was paid to create it and the employer owns the copyright.
YESNO
11
Work-For Hire Form UploadIf yes to the previous question, please upload the work-for-hire documents
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
Are any per-existing materials (samples) apart of the works being registered?
YESNO
13
If yes to the previous question, please provide the registration number of the previously registered material.
14
Enter the date of registration
Date
Year
Month
Day
15
Citizenship or Domicile of Author(s)* This field is required.Please provide your citizenship (Example. U.S.)
16
What year was the work completed?
Date
Year
Month
Day
17
Are you the owner of the copyright?* This field is required.
YESNO
18
If no to the previous question please name the owner(s)
19
Is this person/entity different from the author?* This field is required.
YESNO
20
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
21
I certify that the information is true and that I am authorized to submit this registration.* This field is required.
Yes
22
Signature* This field is required.
Powered by Jotform SignClear
23
Date* This field is required.
Date
Year
Month
Day
24
My Products* This field is required.
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Group Works RegistrationUp to 10 works can be registered in one filing. All works must be unpublished. Same claimant (owner) for all works.
$175.00Edit
Back
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
Should be Empty: