Form SR "Sound Recording Form"

What Is Form SR?

This is a legal form that was released by the U.S. Copyright Office on May 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest available edition released by the U.S. Copyright Office;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SR by clicking the link below or browse more documents and templates provided by the U.S. Copyright Office.

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4
Form SR
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
When to Use This Form: Use Form SR for registration of published or unpublished
Contribution to a Collective Work: Deposit one complete phonorecord of the best
sound recordings. Form SR should be used when the copyright claim is limited to the
edition of the collective work.
sound recording itself, and it may also be used where the same copyright claimant is
seeking simultaneous registration of the underlying musical, dramatic, or literary work
The Copyright Notice: Before March 1, 1989, the use of copyright notice was man-
embodied in the phonorecord.
datory on all published works, and any work first published before that date should
With one exception, “sound recordings” are works that result from the fixation of a
have carried a notice. For works first published on and after March 1, 1989, use of
series of musical, spoken, or other sounds. The exception is for the audio portions of
the copyright notice is optional. For more information about copyright notice, see
audiovisual works, such as a motion picture soundtrack or an audio cassette accom-
Copyright Notice (Circular 3).
panying a filmstrip. These are considered a part of the audiovisual work as a whole.
For Further Information: To speak to a Copyright Office staff member, call
Unpublished works: This form may be used to register one unpublished work. This
(202) 707-3000 or 1-877-476-0778. Recorded information is available 24 hours a day.
form cannot be used to register a “collection” of two or more unpublished works. Any
Order forms and other publications from Library of Congress, Copyright Office-
paper application submitted with more than one unpublished work may be refused.
COPUBS, 101 Independence Avenue SE, Washington, DC 20559 or call (202) 707-9100
To register multiple unpublished works, you must use the online application for
or 1-877-476-0778 (toll free). Access and download circulars and other information
“A Group of Unpublished Works.” For information about the online application, see
from the Copyright Office website at www.copyright.gov.
Multiple Works (Circular 34).
PRIVACY ACT ADVISORY STATEMENT Required by the Privacy Act of 1974 (P.L. 93-579)
Deposit to Accompany Application: An application for copyright registration must
The authority for requesting this information is title 17 U.S.C. §409 and §410. Furnishing the
requested information is voluntary. But if the information is not furnished, it may be necessary to delay
be accompanied by a deposit consisting of phonorecords representing the entire work
or refuse registration and you may not be entitled to certain relief, remedies, and benefits provided
for which registration is to be made.
in chapters 4 and 5 of title 17 U.S.C.
Unpublished Work: Deposit one complete phonorecord.
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 require-
Published Work: Deposit two complete phonorecords of the best edition,
ments of the copyright code.
together with “any printed or other visually perceptible material” published with the
Other routine uses include public inspection and copying, preparation of public indexes, prepara-
tion of public catalogs of copyright registrations, and preparation of search reports upon request.
phonorecords.
NOTE: No other advisory statement will be given in connection with this application. Please keep
Work First Published Outside the United States: Deposit one complete phonore-
this statement and refer to it if we communicate with you regarding this application.
cord of the first foreign edition.
LINE-BY-LINE INSTRUCTIONS
Please type or print using black ink. The form is used to produce the certificate.
1
specially ordered or commissioned for use as a contribution to a collective work, as a
SPACE 1: Title
part of a motion picture or other audiovisual work, as a translation, as a supplemen-
tary work, as a compilation, as an instructional text, as a test, as answer material for a
Title of This Work: Every work submitted for copyright registration must
test, or as an atlas, if the parties expressly agree in a written instrument signed by them
that the work shall be considered a work made for hire.” If you have checked “Yes” to
be given a title to identify that particular work. If the phonorecords or any accom-
indicate that the work was “made for hire,” you must give the full legal name of the
panying printed material bears a title (or an identifying phrase that could serve as a
title), transcribe that wording completely and exactly on the application. Indexing of
employer (or other person for whom the work was prepared). You may also include
the registration and future identification of the work may depend on the information
the name of the employee along with the name of the employer (for example: “Elster
Record Co., employer for hire of John Ferguson”).
you give here.
Previous, Alternative, or Contents Titles: Complete this space if there are any
“Anonymous” or “Pseudonymous” Work: An author’s contribution to a work is
previous or alternative titles for the work under which someone searching for the
“anonymous” if that author is not identified on the copies or phonorecords of the work.
An author’s contribution to a work is “pseudonymous” if that author is identified on
registration might be likely to look, or under which a document pertaining to the
work might be recorded. You may also give the individual contents titles, if any, in
the copies or phonorecords under a fictitious name. If the work is “anonymous” you
this space or you may use a Con tinuation Sheet (Form CON). Circle the term that
may: (1) leave the line blank; or (2) state “anonymous” on the line; or (3) reveal the
author’s identity. If the work is “pseudonymous” you may: (1) leave the line blank;
describes the titles given.
or (2) give the pseudonym and identify it as such (for example: “Huntley Haverstock,
2
pseudonym”); or (3) reveal the author’s name, making clear which is the real name and
SPACE 2: Author(s)
which is the pseudonym (for example: “Judith Barton, whose pseudonym is Madeline
Elster”). However, the citizenship or domicile of the author must be given in all cases.
General Instructions: After reading these instructions, decide who are the
Dates of Birth and Death: If the author is dead, the statute requires that the year of
death be included in the application unless the work is anonymous or pseudonymous.
“authors” of this work for copyright purposes. Then, unless the work is a “collective
The author’s birth date is optional, but is useful as a form of identification. Leave this
work,” give the requested information about every “author” who contributed any
appreciable amount of copyrightable matter to this version of the work. If you need
space blank if the author’s contribution was a “work made for hire.”
Author’s Nationality or Domicile: Give the country in which the author is a citi-
further space, use additional Continuation Sheets. In the case of a collective work such
zen, or the country in which the author is domiciled. Nationality or domicile must be
as a collection of previously published or registered sound recordings, give information
about the author of the collective work as a whole. If you are submitting this Form SR
given in all cases.
Nature of Authorship: Sound recording author ship is the performan ce, sound pro-
to cover the recorded musical, dramatic, or literary work as well as the sound recording
duction, or both, that is fixed in the recording deposited for registration. Describe this
itself, it is important for space 2 to include full information about the various authors
of all of the material covered by the copyright claim, making clear the nature of each
authorship in space 2 as “sound recording.” If the claim also covers the underlying
author’s contribution.
work(s), include the appropriate authorship terms for each author, for example, “words,”
“music,” “arrangement of music,” or “text.”
Name of Author: The fullest form of the author’s name should be given. Unless the
work was “made for hire,” the individual who actually created the work is its “author.”
Generally, for the claim to cover both the sound recording and the underlying
In the case of a work made for hire, the statute provides that “the employer or other
work(s), every author should have contributed to both the sound recording and the
underlying work(s). If the claim includes artwork or photographs, include the appro-
person for whom the work was prepared is considered the author.”
What Is a “Work Made for Hire”? A “work made for hire” is defined as: (1) “a work
priate term in the statement of authorship.
prepared by an employee within the scope of his or her employment”; or (2) “a work
4
Form SR
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
When to Use This Form: Use Form SR for registration of published or unpublished
Contribution to a Collective Work: Deposit one complete phonorecord of the best
sound recordings. Form SR should be used when the copyright claim is limited to the
edition of the collective work.
sound recording itself, and it may also be used where the same copyright claimant is
seeking simultaneous registration of the underlying musical, dramatic, or literary work
The Copyright Notice: Before March 1, 1989, the use of copyright notice was man-
embodied in the phonorecord.
datory on all published works, and any work first published before that date should
With one exception, “sound recordings” are works that result from the fixation of a
have carried a notice. For works first published on and after March 1, 1989, use of
series of musical, spoken, or other sounds. The exception is for the audio portions of
the copyright notice is optional. For more information about copyright notice, see
audiovisual works, such as a motion picture soundtrack or an audio cassette accom-
Copyright Notice (Circular 3).
panying a filmstrip. These are considered a part of the audiovisual work as a whole.
For Further Information: To speak to a Copyright Office staff member, call
Unpublished works: This form may be used to register one unpublished work. This
(202) 707-3000 or 1-877-476-0778. Recorded information is available 24 hours a day.
form cannot be used to register a “collection” of two or more unpublished works. Any
Order forms and other publications from Library of Congress, Copyright Office-
paper application submitted with more than one unpublished work may be refused.
COPUBS, 101 Independence Avenue SE, Washington, DC 20559 or call (202) 707-9100
To register multiple unpublished works, you must use the online application for
or 1-877-476-0778 (toll free). Access and download circulars and other information
“A Group of Unpublished Works.” For information about the online application, see
from the Copyright Office website at www.copyright.gov.
Multiple Works (Circular 34).
PRIVACY ACT ADVISORY STATEMENT Required by the Privacy Act of 1974 (P.L. 93-579)
Deposit to Accompany Application: An application for copyright registration must
The authority for requesting this information is title 17 U.S.C. §409 and §410. Furnishing the
requested information is voluntary. But if the information is not furnished, it may be necessary to delay
be accompanied by a deposit consisting of phonorecords representing the entire work
or refuse registration and you may not be entitled to certain relief, remedies, and benefits provided
for which registration is to be made.
in chapters 4 and 5 of title 17 U.S.C.
Unpublished Work: Deposit one complete phonorecord.
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 require-
Published Work: Deposit two complete phonorecords of the best edition,
ments of the copyright code.
together with “any printed or other visually perceptible material” published with the
Other routine uses include public inspection and copying, preparation of public indexes, prepara-
tion of public catalogs of copyright registrations, and preparation of search reports upon request.
phonorecords.
NOTE: No other advisory statement will be given in connection with this application. Please keep
Work First Published Outside the United States: Deposit one complete phonore-
this statement and refer to it if we communicate with you regarding this application.
cord of the first foreign edition.
LINE-BY-LINE INSTRUCTIONS
Please type or print using black ink. The form is used to produce the certificate.
1
specially ordered or commissioned for use as a contribution to a collective work, as a
SPACE 1: Title
part of a motion picture or other audiovisual work, as a translation, as a supplemen-
tary work, as a compilation, as an instructional text, as a test, as answer material for a
Title of This Work: Every work submitted for copyright registration must
test, or as an atlas, if the parties expressly agree in a written instrument signed by them
that the work shall be considered a work made for hire.” If you have checked “Yes” to
be given a title to identify that particular work. If the phonorecords or any accom-
indicate that the work was “made for hire,” you must give the full legal name of the
panying printed material bears a title (or an identifying phrase that could serve as a
title), transcribe that wording completely and exactly on the application. Indexing of
employer (or other person for whom the work was prepared). You may also include
the registration and future identification of the work may depend on the information
the name of the employee along with the name of the employer (for example: “Elster
Record Co., employer for hire of John Ferguson”).
you give here.
Previous, Alternative, or Contents Titles: Complete this space if there are any
“Anonymous” or “Pseudonymous” Work: An author’s contribution to a work is
previous or alternative titles for the work under which someone searching for the
“anonymous” if that author is not identified on the copies or phonorecords of the work.
An author’s contribution to a work is “pseudonymous” if that author is identified on
registration might be likely to look, or under which a document pertaining to the
work might be recorded. You may also give the individual contents titles, if any, in
the copies or phonorecords under a fictitious name. If the work is “anonymous” you
this space or you may use a Con tinuation Sheet (Form CON). Circle the term that
may: (1) leave the line blank; or (2) state “anonymous” on the line; or (3) reveal the
author’s identity. If the work is “pseudonymous” you may: (1) leave the line blank;
describes the titles given.
or (2) give the pseudonym and identify it as such (for example: “Huntley Haverstock,
2
pseudonym”); or (3) reveal the author’s name, making clear which is the real name and
SPACE 2: Author(s)
which is the pseudonym (for example: “Judith Barton, whose pseudonym is Madeline
Elster”). However, the citizenship or domicile of the author must be given in all cases.
General Instructions: After reading these instructions, decide who are the
Dates of Birth and Death: If the author is dead, the statute requires that the year of
death be included in the application unless the work is anonymous or pseudonymous.
“authors” of this work for copyright purposes. Then, unless the work is a “collective
The author’s birth date is optional, but is useful as a form of identification. Leave this
work,” give the requested information about every “author” who contributed any
appreciable amount of copyrightable matter to this version of the work. If you need
space blank if the author’s contribution was a “work made for hire.”
Author’s Nationality or Domicile: Give the country in which the author is a citi-
further space, use additional Continuation Sheets. In the case of a collective work such
zen, or the country in which the author is domiciled. Nationality or domicile must be
as a collection of previously published or registered sound recordings, give information
about the author of the collective work as a whole. If you are submitting this Form SR
given in all cases.
Nature of Authorship: Sound recording author ship is the performan ce, sound pro-
to cover the recorded musical, dramatic, or literary work as well as the sound recording
duction, or both, that is fixed in the recording deposited for registration. Describe this
itself, it is important for space 2 to include full information about the various authors
of all of the material covered by the copyright claim, making clear the nature of each
authorship in space 2 as “sound recording.” If the claim also covers the underlying
author’s contribution.
work(s), include the appropriate authorship terms for each author, for example, “words,”
“music,” “arrangement of music,” or “text.”
Name of Author: The fullest form of the author’s name should be given. Unless the
work was “made for hire,” the individual who actually created the work is its “author.”
Generally, for the claim to cover both the sound recording and the underlying
In the case of a work made for hire, the statute provides that “the employer or other
work(s), every author should have contributed to both the sound recording and the
underlying work(s). If the claim includes artwork or photographs, include the appro-
person for whom the work was prepared is considered the author.”
What Is a “Work Made for Hire”? A “work made for hire” is defined as: (1) “a work
priate term in the statement of authorship.
prepared by an employee within the scope of his or her employment”; or (2) “a work
3
Changed Version: If the work has been changed and you are now seeking registra-
SPACE 3: Creation and Publication
tion to cover the additions or revisions, check the last box in space 5, give the earlier
registration number and date, and complete both parts of space 6 in accordance with
General Instructions: Do not confuse “creation” with “publication.” Every
the instructions below.
Previous Registration Number and Date: If more than one previous registration
application for copyright registration must state “the year in which creation of the
has been made for the work, give the number and date of the latest registration.
work was completed.” Give the date and nation of first publication only if the work
has been published.
6
Creation: Under the statute, a work is “created” when it is fixed in a copy or pho-
SPACE 6: Derivative Work or Compilation
norecord for the first time. If a work has been prepared over a period of time, the part
of the work existing in fixed form on a particular date constitutes the created work on
General Instructions: Complete space 6 if this work is a “changed version,”
that date. The date you give here should be the year in which the author completed the
“compilation,” or “derivative work,” and if it incorporates one or more earlier works that
particular version for which registration is now being sought, even if other versions
exist or if further changes or additions are planned.
have already been published or registered for copyright, or that have fallen into the
public domain, or sound recordings that were fixed before February 15, 1972. A “com-
Publication: The statute defines “publication” as “the distribution of copies or pho-
pilation” is defined as “a work formed by the collection and assembling of preexisting
norecords of a work to the public by sale or other transfer of ownership, or by rental,
lease, or lending”; a work is also “published” if there has been an “offering to distrib-
materials or of data that are selected, coordinated, or arranged in such a way that the
resulting work as a whole constitutes an original work of authorship.” A “derivative
ute copies or phonorecords to a group of persons for purposes of further distribution,
work” is “a work based on one or more preexisting works.” Examples of derivative
public performance, or public display.” Give the full date (month, date, year) when, and
the country where, publication first occurred. If first publication took place simultane-
works include recordings reissued with substantial editorial revisions or abridgments
ously in the United States and other countries, it is sufficient to state “U.S.A.”
of the recorded sounds, and recordings republished with new recorded material, or “any
other form in which a work may be recast, transformed, or adapted.” Derivative works
4
also include works “consisting of editorial revisions, annotations, or other modifica-
SPACE 4: Claimant(s)
tions” if these changes, as a whole, represent an original work of authorship.
Preexisting Material (space 6a): Complete this space and space 6b for derivative
Name(s) and Address(es) of Copyright Claimant(s): Give the name(s) and
works. In this space identify the preexisting work that has been recast, transformed,
address(es) of the copyright claimant(s) in the work even if the claimant is the same
or adapted. The preexisting work may be material that has been previously published,
previously registered, or that is in the public domain. For example, the preexisting
as the author. Copyright in a work belongs initially to the author of the work (includ-
material might be: “1970 recording by Sperryville Symphony of Bach Double Concerto.”
ing, in the case of a work made for hire, the employer or other person for whom the
work was prepared). The copyright claimant is either the author of the work or a
Material Added to This Work (space 6b): Give a brief, general statement of the
additional new material covered by the copyright claim for which registra-
person or organization to whom the copyright initially belonging to the author has
tion is sought. In the case of a derivative work, identify this new material.
been transferred.
Transfer: The statute provides that, if the copyright claimant is not the author,
Examples: “Recorded performances on bands 1 and 3”; “Remixed sounds from original
multitrack sound sources”; “New words, arrangement, and additional sounds.” If the
the application for registration must contain “a brief statement of how the claimant
work is a compilation, give a brief, general statement describing both the material that
obtained ownership of the copyright.” If any copyright claimant named in space 4a is
not an author named in space 2, give a brief statement explaining how the claimant(s)
has been compiled and the compilation itself. Example: “Compilation of 1938 record-
obtained ownership of the copyright. Examples: “By written contract”; “Transfer of all
ings by various swing bands.”
rights by author”; “Assignment”; “By will.” Do not attach transfer documents or other
7,8,9
attachments or riders.
SPACE 7, 8,9: Fee, Correspondence,
5
Certification, Return Address
SPACE 5: Previous Registration
Deposit Account: If you maintain a deposit account in the Copyright Office, identify
it in space 7a. Otherwise, leave the space blank and send the filing fee with your appli-
General Instructions: The questions in space 5 are intended to show whether
cation and deposit. (See space 8 on form.) Note: Copyright Office fees are subject to
an earlier registration has been made for this work and, if so, whether there is any basis
for a new registration. As a rule, only one basic copyright registration can be made for
change. For current fees, check the Copyright Office website at www.copyright.gov, write
the Copyright Office, or call (202) 707-3000 or 1-877-476-0778 (toll free).
the same version of a particular work.
Same Version: If this version is substantially the same as the work covered by a pre-
Correspondence (space 7b): Give the name, address, area code, telephone number,
vious registration, a second registration is not generally possible unless: (1) the work has
fax number, and email address (if available) of the person to be consulted if correspon-
been registered in unpublished form and a second registration is now being sought to
dence about this application becomes necessary.
Certification (space 8): This application cannot be accepted unless it bears the date
cover this first published edition; or (2) someone other than the author is identified as
copyright claimant in the earlier registration and the author is now seeking registration
and the signature of the author or other copyright claimant, or the owner of exclusive
in his or her own name. If either of these two exceptions applies, check the appropri-
right(s), or the duly authorized agent of the author, claimant, or owner of exclusive
right(s).
ate box and give the earlier registration number and date. Otherwise, do not submit
Address for Return of Certificate (space 9): The address box must be completed
Form SR. Instead, write the Copyright Office for information about supplementary
registration or recordation of transfers of copyright ownership.
legibly since the certificate will be returned in a window envelope.
MORE INFORMATION
Should You File More Than One Application?
“Works”: “Works” are the basic subject matter of copyright; they are what authors
create and copyright protects. The statute draws a sharp distinction between the “work”
and “any material object in which the work is embodied.”
If your work consists of a recorded musical, dramatic, or literary work and if both that
“Copies” and “Phonorecords”: These are the two types of material objects in which
“work” and the sound recording as a separate “work” are eligible for registration, the
“works” are embodied. In general, “copies” are objects from which a work can be read
application form you should file depends on the following:
File Only Form SR if: The copyright claimant is the same for both the musical,
or visually perceived, directly or with the aid of a machine or device, such as manu-
dramatic, or literary work and for the sound recording, and you are seeking a single
scripts, books, sheet music, film, and videotape. “Phonorecords” are objects embodying
fixations of sounds, such as audio tapes and phonograph disks. For example, a song (the
registration to cover both of these “works.”
File Only Form PA (or Form TX) if: You are seeking to register only the musical,
“work”) can be reproduced in sheet music (“copies”) or phonograph disks (“phonore-
dramatic, or literary work, not the sound recording. Form PA is appropriate for works
cords”), or both.
“Sound Recordings”: These are “works,” not “copies” or “phonorecords.” “Sound
of the performing arts; Form TX is for nondramatic literary works.
recordings” are “works that result from the fixation of a series of musical, spoken,
Separate Applications Should Be Filed on Form PA (or Form TX) and on Form
SR if: (1) The copyright claimant for the musical, dramatic, or literary work is different
or other sounds, but not including the sounds accompanying a motion picture or
other audiovisual work.” Example: When a record company issues a new release, the
from the copyright claimant for the sound recording; or (2) you prefer to have separate
release will typically involve two distinct “works”: the “musical work” that has been
registrations for the musical, dramatic, or literary work and for the sound recording.
recorded, and the “sound recording” as a separate work in itself. The material objects
that the record company sends out are “phonorecords”: physical reproductions of both
the “musical work” and the “sound recording.”
Copyright Office fees are subject to change. For
3
Form SR
Clear Form
current fees, check the Copyright Office website
For a Sound Recording
at www.copyright.gov, write the Copy right Office,
UNITED STATES COPYRIGHT OFFICE
or call (202) 707-3000 or 1-877-476-0778 (toll free).
REGISTRATION NUMBER
Privacy Act Notice: Sections 408-410 of title 17 of the United States
Code authorize the Copyright Office to collect the personally identifying
information requested on this form in order to process the applica-
tion for copyright registration. By providing this information you are
SR
SRU
agreeing to routine uses of the information that include publication
to give legal notice of your copyright claim as required by 17 U.S.C.
EFFECTIVE DATE OF REGISTRATION
§705. It will appear in the Office’s online catalog. If you do not provide
the information requested, registration may be refused or delayed,
and you may not be entitled to certain relief, remedies, and benefits
under the copyright law.
Month
Day
Year
DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET.
1
TITLE OF THIS WORK ▼
PREVIOUS, ALTERNATIVE, OR CONTENTS TITLES (CIRCLE ONE) ▼
2
NAME OF AUTHOR ▼
DATES OF BIRTH AND DEATH
Year Born ▼
Year Died ▼
AUTHOR’S NATIONALITY OR DOMICILE
WAS THIS AUTHOR’S CONTRIBUTION TO
a
Was this contribution to the work
If the answer to either
Name of Country
THE WORK
a “work made for hire”?
{
of these questions
❑ Yes
Citizen of
Anonymous?
❑ Yes
❑ No
OR
is “Yes,” see detailed
❑ No
instructions.
Domiciled in
Pseudonymous?
❑ Yes
❑ No
NATURE OF AUTHORSHIP
Briefly describe nature of material created by this author in which copyright is claimed.
NOTE
Under the law,
NAME OF AUTHOR ▼
DATES OF BIRTH AND DEATH
the “author” of
Year Born ▼
Year Died ▼
a “work made
for hire” is
generally the
b
AUTHOR’S NATIONALITY OR DOMICILE
WAS THIS AUTHOR’S CONTRIBUTION TO
Was this contribution to the work
employer, not
Name of Country
If the answer to either
THE WORK
a “work made for hire”?
the employee
{
of these questions
❑ Yes
Citizen of
Anonymous?
❑ Yes
❑ No
(see instruc-
OR
is “Yes,” see detailed
tions). For any
❑ No
Domiciled in
Pseudonymous?
❑ Yes
❑ No
instructions.
part of this
work that was
NATURE OF AUTHORSHIP
Briefly describe nature of material created by this author in which copyright is claimed.
“made for hire,”
check “Yes”
in the space
provided, give
NAME OF AUTHOR ▼
DATES OF BIRTH AND DEATH
the employer
Year Born ▼
Year Died ▼
(or other
person for
whom the work
AUTHOR’S NATIONALITY OR DOMICILE
WAS THIS AUTHOR’S CONTRIBUTION TO
c
Was this contribution to the work
was prepared)
Name of Country
THE WORK
If the answer to either
as “Author”
a “work made for hire”?
{
of these questions
of that part,
❑ Yes
Citizen of
Anonymous?
❑ Yes
❑ No
OR
is “Yes,” see detailed
and leave the
❑ No
Domiciled in
Pseudonymous?
❑ Yes
❑ No
instructions.
space for dates
of birth and
NATURE OF AUTHORSHIP
Briefly describe nature of material created by this author in which copyright is claimed.
death blank.
3
YEAR IN WHICH CREATION OF THIS
DATE AND NATION OF FIRST PUBLICATION OF THIS PARTICULAR WORK
a
b
WORK WAS COMPLETED
This information
Complete this information
Month
Day
Year
must be given
ONLY if this work
Year
in all cases.
has been published.
Nation
4
APPLICATION RECEIVED
COPYRIGHT CLAIMANT(S)
Name and address must be given even if the claimant is the same as the author
a
given in space 2. ▼
ONE DEPOSIT RECEIVED
TWO DEPOSITS RECEIVED
See instructions
TRANSFER
If the claimant(s) named here in space 4 is (are) different from the author(s) named in space 2, give a
before completing
b
this space.
brief statement of how the claimant(s) obtained ownership of the copyright. ▼
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• Complete all applicable spaces (numbers 5-9) on the reverse side of this page.
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• See detailed instructions.
• Sign the form at line 8.
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EXAMINED BY
FORM SR
CHECKED BY
FOR
CORRESPONDENCE
COPYRIGHT
Yes
OFFICE
USE
ONLY
DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET.
5
PREVIOUS REGISTRATION
Has registration for this work, or for an earlier version of this work, already been made in the Copyright Office?
❑ Yes ❑ No If your answer is “Yes,” why is another registration being sought? (Check appropriate box) ▼
a. ❑ This work was previously registered in unpublished form and now has been published for the first time.
b. ❑ This is the first application submitted by this author as copyright claimant.
c. ❑ This is a changed version of the work, as shown by space 6 on this application.
If your answer is “Yes,” give: Previous Registration Number ▼
Year of Registration ▼
6
DERIVATIVE WORK OR COMPILATION
Preexisting Material Identify any preexisting work or works that this work is based on or incorporates. ▼
a
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before completing
this space.
Material Added to This Work Give a brief, general statement of the material that has been added to this work and in which copyright is claimed. ▼
b
7
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.
a
Name ▼
Account Number ▼
CORRESPONDENCE
Give name and address to which correspondence about this application should be sent. Name/Address/Apt/City/State/Zip ▼
b
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8
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CERTIFICATION*
I, the undersigned, hereby certify that I am the
Check only one ▼
❑ author
❑ owner of exclusive right(s)
❑ other copyright claimant
❑ 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 and date ▼ If this application gives a date of publication in space 3, do not sign and submit it before that date.
Date
Signature ▼
9
YOU MUST:
Certificate
Name ▼
• Complete all necessary spaces
will be
• Sign your application in space 8
mailed in
SEND ALL 3 ELEMENTS
IN THE SAME PACKAGE:
window
Number/Street/Apt ▼
1. Application form
envelope
2. Nonrefundable filing fee in check or mon-
ey order payable to U.S. Copyright Office
to this
3. Deposit material
address:
MAIL TO:
City/State/Zip ▼
Library of Congress
U.S. Copyright Office-SR
101 Independence Avenue SE
Washington, DC 20559-6000
*17 U.S.C. §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 SR-Full Rev: 05/2019 Printed on recycled paper
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