UNITED STATES COPYRIGHT OFFICE
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Special Handling Request Form
1 application information (required)
A Title of the Work (as it appears on the application):
B Name of Author(s) and Claimant(s) (as they appear on the application):
C Case Number / Service Request Number (if known):
2 justification for special handling (required)
Pending or Prospective Litigation Contractual/Publishing Deadlines Customs Matter
3 additional information (optional)
To facilitate examination and location of your application and deposited materials, please provide as much of the following
information as possible:
A A description of the deposit copy(ies), phonorecords, or identifying material submitted to the Copyright Oce:
B Date the Application was submitted to the Oce:
C Means of submission to the Copyright Oce (e.g., by electronic submission,
hand delivery, rst class mail, registered mail, certied mail, or private courier, etc.):
Tracking number (if applicable):
If you are requesting special handling for the purpose of currently PENDING litigation, please answer the following:
D Are you (or your client) the
Plainti or Defendant in the litigation?
E Names of the Parties:
Name of the Court:
Docket Number:
4 certification (required)
I certify that I am the author, copyright claimant, owner of one or more of the exclusive rights in the work, or the authorized
agent of one of these parties.
(Signature) (Date)
(Email) (Phone)
For more information on the eligibility requirements for special handling, please see the Compendium of U.S. Copyright Oce Practices, chapter 600, section 623.
U. S. Copyright Oce · Library of Congress · 101 Independence Avenue SE · Washington, DC 20559 · www.copyright.gov
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