Campaign Url(s) (required)
First Name (required)
Last Name (required)
Address Line 1 (required)
Your Email (required)
Phone Number (required)
IP Claim Details
Are you the Rights Owner or an Agent? (required)
IP Owner (Legal Name)
The specific concern is (required)
URL(s) to original work (required)
Additional Information (Optional)
* I have a good faith belief that content(s) in the campaign described above violate(s) my rights described above or those held by the rights owner, and that the use of such content(s) is contrary to law.
* I declare, under penalty of perjury, that the information completed above is correct and accurate and that I am the owner or agent of the owner of the rights described above.
I have read and accept the statements above.