Form CA For Supplementary Registration
Form CA For Supplementary Registration Form. This is a Official Federal Forms form and can be use in US Copyright Office.
Tags: Form CA For Supplementary Registration, CA, Official Federal Forms US Copyright Office,
4 Form CA Detach and read these instructions before completing this form. Make sure all applicable spaces have been ﬁlled in before you return this form. BASIC INFORMATION Use Form CA When: • An earlier registration has been completed in the Copyright Ofﬁce; and • Some of the facts given in that registration are incorrect or incomplete; and • You want to place the correct or complete facts on record. Third: Complete all applicable spaces on the form following the lineby-line instructions on the back of this page. Use a typewriter or print the information in black ink. Fourth: Detach this sheet and send your completed Form CA along with a photocopy of the front and back of the certiﬁcate of registration being amended to: Library of Congress Copyright Ofﬁce 101 Independence Avenue SE Washington, DC 20559-6000 Purpose of Supplementary Copyright Registration: As a rule, only one basic copyright registration can be made for the same work. To take care of cases where information in the basic registration turns out to be incorrect or incomplete, section 408(d) of the copyright law provides for “the ﬁling of an application for supplementary registration, to correct an error in a copyright registration or to amplify the information given in a registration.” Do not send copies, phonorecords, or supporting documents other than the photocopied certiﬁcate with your application. They cannot be made part of the record of a supplementary registration. Who May File: Once basic registration has been made for a work, any author or other copyright claimant or owner of any exclusive right in the work or the duly authorized agent of any such author, other claimant, or owner who wishes to correct or amplify the information given in the basic registration may submit Form CA. Fee: Unless you have a deposit account in the Copyright Ofﬁce, your application must be accompanied by a nonrefundable ﬁling fee in the form of a check or money order payable to Register of Copyrights. If you use a deposit account, give the account name and number on the form. Please Note: Do not use Form CA to correct errors in statements on the copies or phonorecords of the work in question or to reflect changes in the content of the work. If the work has been changed substantially, ﬁling a form CA is not appropriate and you should consider making an entirely new registration for the revised version to cover the additions or revisions. Do not use Form CA as a substitute for renewal registration. Renewal of copyright cannot be accomplished by using Form CA. For information on renewal of copyright, request Circular 15, Renewal of Copyright, from the Copyright Ofﬁce. Do not use Form CA to correct an error regarding publication when the work was registered as an unpublished work. *Note: Copyright Ofﬁce fees are subject to change. For current fees, check the Copyright Ofﬁce website at www.copyright.gov, write the Copyright Ofﬁce, or call (202) 707-3000. Do not use Form CA as a substitute for recording a transfer of copyright or other document pertaining to rights under a copyright. Recording a document under section 205 of the statute gives all persons constructive notice of the facts stated in the document and may have other important consequences in cases of infringement or conflicting transfers. Supplementary registration does not have that legal effect. For information on recording a document, request Circular 12, Recordation of Transfers and Other Documents, from the Copyright Ofﬁce. To record a document in the Copyright Ofﬁce, request the Document Cover Sheet. How to Apply for Supplementary Registration First: Study the information on this page to make sure that ﬁling an application on Form CA is the best procedure to follow in your case. Second: Read the back of this page for speciﬁc instructions on ﬁlling out Form CA. Before starting to complete the form, make sure that you have all the necessary detailed information from the certiﬁcate of the basic registration. What Happens When a Supplementary Registration Is Made? When a supplementary registration is completed, the Copyright Ofﬁce will assign it a new registration number in the appropriate registration category and will issue a certiﬁcate of supplementary registration under that number. The basic registration will not be cancelled. The two registrations will stand in the Copyright Ofﬁce records. The supplementary registration will have the effect of calling the public’s attention to a possible error or omission in the basic registration and of placing the correct facts or the additional information on ofﬁcial record. For Further Information • Internet: Circulars, application forms, announcements, and other related materials are available at www.copyright.gov • Telephone: For general information about copyright, call the Public Information Ofﬁce at (202) 707-3000 (TTY (202) 707-6737). Staff members are on duty from 8:30 a.m through 5:00 p.m., eastern time, Monday through Friday, except federal holidays. Recorded information is available 24 hours a day. If you know which application forms and circulars you want, call the Forms and Publications Hotline at (202) 707-9100 24 hours a day. • Regular Mail: Write to: Library of Congress Copyright Ofﬁce Public Information Ofﬁce 101 Independence Avenue SE Washington, DC 20559-6000 American LegalNet, Inc. www.USCourtForms.com LINE-BY-LINE INSTRUCTIONS Please type or print neatly using black ink. The certiﬁcate of registration is created by copying your CA application form. A SPACE A: Identiﬁcation of Basic Registration General Instructions: The information in this part identiﬁes the basic registration that will be corrected or ampliﬁed. Even if the purpose of ﬁling Form CA is to change one of these items, each item must agree exactly with the information as it already appears in the basic registration, that is, as it appears in the registration you wish to correct. Do not give any new information in this part. C SPACE C: Ampliﬁcation General Instructions: Complete this part if you want to provide any of the following: (1) information that was omitted at the time of basic registration; (2) changes in facts other than ownership but including changes such as title or address of claimant that have occurred since the basic registration; or (3) explanations clarifying information in the basic registration. Title of Work: Give the title as it appears in the basic registration. Location and Nature of Information to Be Ampliﬁed: Give the line number and the heading or description of the space in the basic registration where the information to be ampliﬁed appears. Registration Number: Give the registration number (the series of numbers preceded by one or more letters) that appears in the upper right-hand corner of the certiﬁcate of registration. Give only one basic registration number since one CA form may correct or amend only one basic registration. Ampliﬁed Information: Give a statement of the additional, updated, or explanatory information as clearly and succinctly as possible. You should add an explanation of the ampliﬁcation if it is necessary. Registration Date: Give the year when the basic registration was completed. Name(s) of Author(s) and Copyright Claimant(s): Give all the names as they appear in the basic registration. B SPACE B: Correction General Instructions: Complete this part only if information in the basic registration was incorrect at the time that basic registration was made. Leave this part blank and complete Part C instead if your purpose is to add, update, or clarify information rather than to rectify an actual error. Location and Nature of Incorrect Information: Give the line number and the heading or description of the space in the basic registration where the error occurs. Example: Line number 2…Citizenship of author. Incorrect Information as It Appears in Basic Registration: Transcribe the incorrect statement exactly as it appears in the basic registration, even if you have already given this information in Part A. D,E,F,G SPACES D,E,F,G: Continuation, Fee, Certification, Return Address Continuation (Part D): Use this space if you do not have enough room in Parts B or C. Deposit Account and Mailing Instructions (Part E): If you maintain a Deposit Account in the Copyright Ofﬁce, identify it in Part E. Otherwise, send the nonrefundable ﬁling fee with your form. The space headed “Correspondence” should contain the name, address, telephone number with area code, and fax and email numbers, if available, of the person to be consulted if correspondence about the form becomes necessary. Certiﬁcation (Part F): The application is not acceptable unless it bears the handwritten signature of the author, or other copyright claimant, or of the owner of exclusive right(s), or of the duly authorized agent of such author, claimant, or owner. Address for Return of Certiﬁcate (Part G): The address box must be completed legibly, since a reproduced image of that space will appear in the window of the mailing envelope. Corrected Information: Give the statement as it should have appeared in the application of the basic registration. Explanation of Correction: You may need to add an explanation to clarify this correction. PRIVACY ACT ADVISORY STATEMENT Required by the Privacy Act of 1974 (P.L. 93-579) The authority for requesting this information is title 17 USC, secs. 409 and 410. Furnishing the requested information is voluntary. But if the information is not furnished, it may be necessary to delay or refuse registration and you may not be entitled to certain relief, remedies, and beneﬁts provided in chapters 4 and 5 of title 17 USC. The principal uses of the requested information are the establishment and maintenance of a public record and the examination of the application for compliance with the registration requirements of the copyright law. Other routine uses include public inspection and copying, preparation of public indexes, preparation of public catalogs of copyright registrations, and preparation of search reports upon request. NOTE: No other advisory statement will be given in connection with this application. Please keep this statement and refer to it if we communicate with you regarding this application. American LegalNet, Inc. www.USCourtForms.com 3 Form CA Copyright Ofﬁce fees are subject to change. For current fees, check the Copyright Ofﬁce website at www.copyright.gov, write the Copyright Ofﬁce, or call (202) 707-3000. For Supplementary Registration UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER TX TXU PA PAU VA VAU SR SRU RE EFFECTIVE DATE OF SUPPLEMENTARY REGISTRATION Month Day Year DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. A Title of Work ▼ Year of Basic Registration ▼ Name(s) of Author(s) ▼ B Registration Number of the Basic Registration ▼ Name(s) of Copyright Claimant(s) ▼ Location and Nature of Incorrect Information in Basic Registration ▼ Line Number _________________________ Line Heading or Description _____________________________________________________________ Incorrect Information as It Appears in Basic Registration ▼ Corrected Information ▼ Explanation of Correction ▼ Line Number _________________________ Line Heading or Description _____________________________________________________________ Ampliﬁed Information and Explanation of Information ▼ MORE ON BACK ▼ C Location and Nature of Information in Basic Registration to be Ampliﬁed ▼ • Complete all applicable spaces (D-G) on the reverse side of this page. • See detailed instructions. • Sign the form at Space F. American LegalNet, Inc. www.USCourtForms.com DO NOT WRITE HERE Page 1 of pages FORM CA FORM CA RECEIVED FUNDS RECEIVED DATE EXAMINED BY FOR COPYRIGHT OFFICE USE ONLY CORRESPONDENCE ❑ REFERENCE TO THIS REGISTRATION ADDED TO BASIC REGISTRATION ❑ YES ❑ NO DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. D Continuation of: ❑ Part B or ❑ Part C E Correspondence: Give name and address to which correspondence about this application should be sent. Phone (______)______________________________ Fax (______)______________________________ Email ______________________________________ Deposit Account: If the registration fee is to be charged to a Deposit Account established in the Copyright Ofﬁce, give name and number of Account. Name _____________________________________________________________________________________________________________________________ Account Number ________________________________________________ Certiﬁcation* I, the undersigned, hereby certify that I am the: (Check only one) ❑ author ❑ other copyright claimant ❑ owner of exclusive right(s) ❑ duly authorized agent of ____________________________________________________________________ Name of author or other copyright claimant, or owner of exclusive right(s) ▲ of the work identiﬁed in this application and that the statements made by me in this application are correct to the best of my knowledge. Typed or printed name ▼ __________________________________________________________________________________________________ F Date ▼ _______________________________ Handwritten signature (X) ▼ Certiﬁcate will be mailed in window envelope to this address: Name YOU MUST: ▼ • Complete all necessary spaces • Sign your application in Space F Number/Street/Apt City/State/ZIP ▼ ▼ SEND ALL ELEMENTS IN THE SAME PACKAGE: 1. Application form 2. Nonrefundable ﬁling fee in check or money order payable to Register of Copyrights G MAIL TO: Library of Congress Copyright Ofﬁce 101 Independence Avenue SE Washington, DC 20559-6000 *17 USC §506(e): Any person who knowingly makes a false representation of a material fact in the application for copyright registration provided for by section 409, or in any written statement ﬁled in connection with the application, shall be ﬁned not more than $2,500. Form CA–Full Rev: 07 ⁄ 2006 Print: 07 ⁄ 2006— ••,000 Printed on recycled paper American LegalNet, Inc. U.S. Government Printing Ofﬁce: 2006-•••-••• ⁄ ••,••• www.USCourtForms.com