Fillable US Copyright Office - Form GATT

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US Copyright Office - Form GATT

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Deposit
Unpublished sound recordings: Send one phonorecord that best represents
the copyrightable content of the work in which
U.S. rights are restored and
for which registration is being made.
Published works: Send one copy that best represents the copyrightable con-
tent of each work in which
U.S. rights are restored and for which registration
is being made, in the following order of preference:
1 Theworkasrstpublished;
2 Areprintorrereleaseoftheworkasrstpublished;
3 Aphotocopyoridenticalreproductionoftheworkasrstpublished;
4 Arevisedversioncontainingasubstantialamountofthecopyrightable
contentoftherestoredworkasrstpublished,together with a written
statement of the percentage of the restored work appearing in the revised
version.
Exceptions: Previously registered works: no deposit is needed for works
registeredpreviouslyinthe
U.S.CopyrightOfce.Three-dimensional works
of the visual arts: deposit one or more photographs, preferably in color.
Machine-readable works: (a) deposit one machine-readable copy of the work
plusadescriptivestatement(seenotebelow),or(b)depositrepresentational
excerptsofthework,suchasprintouts,or,iftheworkisanaudiovisualwork,
a videotape.
Note: A descriptive statement of a machine-readable work is a separate written
statementspecifyingthetitleandthenatureofthework(computerprogram,
database,orvideogame,forexample)andincludingabriefdescriptionofthe
purposeorsubjectmatterofthework.
Fee
CopyrightOfcefeesaresubjecttochange.Forcurrentfees,checktheCopy-
rightOfcewebsiteatwww.copyright.gov,writetheCopyrightOfce,orcall
(202) 707-3000 or 1-877-476-0778 (toll free).
Feescanbepaidbycheck,moneyorder,orbankdraftpayabletotheReg-
ister of Copyrights. All non-
U.S.checks,moneyorders,andbankdraftsmust
beredeemablewithoutaserviceorexchangefeethrougha
U.S.institution,
payable in
U.S. dollars, and imprinted with American Banking Association
routingnumbers.Postalmoneyordersandinternationalmoneyordersthat
arenegotiableonlyatapostofcearenotacceptable.
TheCopyrightOfcealsoacceptsAmericanExpress,Visa,andMasterCard
forlingsunderthe
URAA. Debit cards are not accepted.
Tochargealingfeeonacreditcard,includeinaseparateletterthetype
ofcard,thenameoftheindividualorrmasitappearsonthecard,theac-
countnumber,theexpirationdate,thetotalamountdue,andthesignatureof
thecardholderauthorizingtheOfcetochargethefeetotheaccount.Donot
give credit card information anywhere on the application form itself.
Feescanalsobepaidbydepositaccount,wherebyapplicantsdepositmoney
inadvanceforuseinpayingcopyrightfees.Fordetails,seeCircular5,How
to Open and Maintain a Deposit Account in the Copyright Ofce.
For Further Information
Library of Congress
U.S. Copyright Ofce
Publications Section
101 Independence Avenue,
SE #6304
Washington,
DC 20559-6304
tel: (202) 707-3000 or 1-877-476-0778 (toll free)
fax: (202) 707-252-2041
web: www.copyright.gov
FormGATT is for registration of a copyright claim in a work in which U.S.
copyrightwasrestoredunderthe1994UruguayRoundAgreementsAct
(
URAA).Youcanusethisformtoregisterasinglework.
Restoration of Copyright
TobeeligibleforcopyrightrestorationundertheURAA,aworkmustmeet
allthefollowingrequirements:
1 Theworkisnotinthepublicdomaininitssourcecountrythrough
expiration of the term of protection.
2 TheworkisinthepublicdomainintheUnitedStatesbecauseof
a noncompliance with
U.S.copyrightformalities;
b lackofsubjectmatterprotectioninthecaseofsoundrecordings
xedbeforeFebruary15,1972;or
c lack of national eligibility.
3 Theworkhasatleastoneauthor(orrightholderinthecaseofsound
recordings) who was, at the time the work was created, a national or
domiciliaryofaneligiblecountry.
4 Ifpublished,theworkwasrstpublishedinaneligiblecountryandwas
notpublishedintheUnitedStatesduringthe30-dayperiodfollowing
publicationintheeligiblecountry.
Note:Restorationof
U.S.copyrightforarchitecturalworksisavail-
ableonlytoarchitecturalworkspublishedorconstructedonorafter
December1,1990.
Denitions
Eligible country: A nation other than the United States that is a member of
theBerneConvention,amemberoftheWorldTradeOrganization,orsubject
to a presidential proclamation restoring the
U.S. copyright to works of that
nation on the basis of reciprocal treatment.
Source country:Foranunpublishedwork,thesourcecountryistheeligible
countryofwhichtheauthorisanationalordomiciliary.Ifarestoredworkhas
morethanoneauthor,thesourcecountryisthecountryofwhichthemajority
offoreignauthorsarenationalsordomiciliaries.Ifthemajorityofauthors
arenotforeign,thesourcecountryisthenationotherthantheUnitedStates
thathasthemostsignicantcontactswiththework.
Forapublishedwork,thesourcecountryistheeligiblecountryinwhichthe
workwasrstpublished.Iftherestoredworkwaspublishedsimultaneously
intwoormoreeligiblecountries,thesourcecountryistheeligiblecountry
thathasthemostsignicantcontactswiththework.
Owner of U.S. copyright: A claim in a restored work can be registered only
in the name of the owner(s) of the
U.S. copyright, that is, in the name of the
owner(s) of all
U.S. rights in that work. A licensee or other owner of only
certainexclusiverightsinaworkisnotpermittedtoregisteraclaimina
restored work in his or her name.
Registration Requirements
Completell-inFormGATTonyourpersonalcomputer,printitout,andsign
anddateit.Blankformscanalsobeprintedoutandcompletedbyhandor
requestedbypostalmail.Pleaseuseblackinkandwritelegibly.Mailyour
completedapplication,deposit,andlingfeeinonepackageto:
Library of Congress
U.S. Copyright Ofce
101 Independence Avenue
SE
Washington, DC 20559
BASIC INFORMATION
4
Form GATT
Read these instructions before completing this form.
Make sure all applicable spaces have been lled in before you return this form.
a.Givethefulltitleofthisworkasitappearsonthe
copyorphonorecord,followedbyanEnglishtranslation
if appropriate.
Example:Title:“LaVie.”Englishtranslation:“Life.”
b. Description of Work: Check the box (or boxes) that best
describes this work.
Nameatleastoneeligibleauthorasdeterminedby
theapplicablelawofthesourcecountry.Tolistmore
thantwoauthors,usethecontinuationsheetFormGATT/
CON.
Foreachauthorlisted,givethenationalityanddomicile
ofthatauthoratthetimetheworkwascreated.
Iftheauthorisdeceased,givetheyearofdeath.
Givetheyearandnationinwhichtheworkwasrst
published.
a.Givethenameandaddressofthecurrentowner(s).
b. Transfer of Copyright:Iftheauthor(s)namedatspace
2isnotthecurrentowner(s)ofU.S.copyright,describe
how the copyright was transferred. Examples: “assign-
mentofallU.S.rights,”“bycontract,”or“bywill.”
Ifthesituationdescribedin1or2belowapplies,
complete this space giving a brief general description of
what is being registered.
1 The restored U.S. copyright in part of this work is owned
by another party. Example: If the owner named in space
4ownstherightsinthetextofabook,buttheillustra-
tionsareownedbysomeoneelse,state“text.”
2 The work is derived from or based on an earlier work.
Examples: If the work being registered is a screenplay
basedonanovel,state“screenplay.”Iftheworkisa
revised edition of a textbook and contains some new
text,state“revisionsandadditionaltext.”
IfthisworkwaspreviouslyregisteredwiththeU.S.
CopyrightOfce,givetheregistrationnumberandtheyear
of registration, if known.
Examples: “FlemishPoets”Ai345–123,1970
“ConcertoforFlute”Eu123–456,1963
a. Deposit Account:Givethenameandnumberof
anexistingdepositaccount.Donot give credit card
information in this space or anywhere on the application
form. Give credit card information in a separate letter.
b. Correspondence: Give the name, postal and email ad-
dresses,andtelephoneandfaxnumbersofthepersonto
contact.
TheauthororownerofU.S.copyrightortheautho-
rizedagentmustsigninink.
Give the name and address of the party to whom the
certicateofregistrationwillbemailed.Information
inthisboxmustbelegible(blackinkortype)toassure
delivery to proper address
.
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 benets 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 requirements of the copyright code.
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.
LINE-BY-LINE INSTRUCTIONS
Please type or print using black ink.
1
SPACE 1: Title
2
SPACE 2: Author(s)
3
SPACE 3: Year and Nation of Publication
4
SPACE 4: Owner(s) of U.S. Copyright
5
SPACE 5: Limitation of Copyright
When less than entire work is subject to registration
6
SPACE 6: Registration Number and Year
for Previous Registration
7
SPACE 7: Deposit Account, Correspondence
8
SPACE 8: Certication
9
SPACE 9: Mailing Address
DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE FORM GATT/CON.
TITLE:
English translation:
DESCRIPTION OF THE WORK: (Check one or more)
❏ literary work ❏ pictorial, graphic, or sculptural work
❏ musical work, including any accompanying words ❏ motion picture or other audiovisual work
❏ dramatic work, including any accompanying music ❏ architectural work
❏ pantomime or choreographic work ❏ sound recording, created in ________________(year)
AUTHOR(S):
Name:
Citizenship (when work was created):
Domicile (when work was created):
Date of death:
Name:
Citizenship (when work was created):
Domicile (when work was created):
Date of death:
YEAR AND NATION OF PUBLICATION: (If work was published, give the year and nation in which it was rst published.)
Year:
Nation:
OWNER(S) OF U.S. COPYRIGHT:
Name:
Address:
Means by which copyright ownership was transferred
(if owner is not the author):
APPLICATION RECEIVED
DEPOSIT RECEIVED
FUNDS RECEIVED
DO NOT WRITE HERE
OFFICE USE ONLY
a
b
2
a
b
3
1
4
a
b
Form GATT
3
For a Restored Work
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER
TX PA VA SR SRU
EFFECTIVE DATE OF REGISTRATION
Month Day Year
Copyright Ofce fees are subject to change. For
current fees, check the Copyright Ofce website
at
www.copyright.gov,
write the Copy right Ofce,
or call (202) 707-3000 or 1-877-476-0778 (toll free).
Privacy Act Notice: Sections 408-410 of title 17 of the
United States Code
authorize
the Copyright Ofce to collect the personally identifying information requested on
this form in order to process the application for copyright registration. By provid-
ing this information you are 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.
sec. 705. It will appear in the Ofce’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 benets under the copyright law.
Clear Form
LIMITATION OF COPYRIGHT: If the registration does not extend to the entire work, describe the material that is covered by the registration:
(see instructions)
PREVIOUS REGISTRATION: If this work was ever registered in the U.S. Copyright Oce, give the registration number and year if known:
DEPOSIT ACCOUNT If the registration fee is to be charged to a deposit account established in the Copyright Oce, give the name and number
of that account. Do not give credit card information on this form.
Name ▼ Account Number ▼
CORRESPONDENCE Give the name and address to which correspondence about this application should be sent. ❏ Same as space 4a.
❏ Same as space 9.
Area or country code and telephone number Email Fax number
CERTIFICATION* I, the undersigned, hereby certify that I am the: (Check one )
❏ Author
❏ Owner of U.S. copyright
❏ Agent of
(Name of author or owner of U.S. copyright)
of the work identied 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: Date:
☛
Signature (X) ▼
EXAMINED BY
CHECKED BY
CORRESPONDENCE
Yes
FORM GATT
FOR
COPYRIGHT
OFFICE
USE
ONLY
DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE FORM GATT/CON.
Certicate
will be
mailed in a
window
envelope
to this
address:
Name ▼
Number/Street/Apt ▼
City/State/ZIP/Nation ▼
*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 led in connection
with the application, shall be ned not more than $2,500.
YOU MUST:
• Complete all necessary spaces
• Sign your application in space 8
SEND ALL 3 ELEMENTS
IN THE SAME PACKAGE:
1. Application form 2. Nonrefundable l-
ing fee in check or money order payable
to Register of Copyrights 3. Deposit
MAIL TO:
Library of Congress
U.S. Copyright Ofce
101 Independence Avenue SE
Washington, DC 20559-6000
9
7
6
5
8
▼
▼
▼
Form GATT-Full Revised: 05/2019 Printed on recycled paper U.S. Government Printing Ofce: 2019-xxx-xxx/xx,xxx
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US Copyright Office - Form GATT

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Completed 26 May 2020

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