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Street Address
Apartment, suite, etc
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Phone
URLs of the allegedly infringing image/s or Website content item/s:
*
Example of the copyright work allegedly being infringed:
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Additional comments about the allegedly infringing:
Your relationship to the copyright holder:
I own the copyright work
My organization owns the copyright work
I am an agent authorized to file this Complaint on behalf of the copyright holder
I hereby declare (Please check to confirm):
That I have a good faith belief that the disputed use of the copyrighted material or reference or link to such material is not authorized by the copyright owner, its agent, or the law (e.g., as a fair use).
That the information in this Complaint is accurate and, under penalty of perjury, that I am the owner, or authorized to act on behalf of the owner, of the copyright or of an exclusive right under the copyright that is allegedly infringed.
I understand that a copy of the Complaint may be sent to the creator of the affected content.
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