Prior to completing this form
Determine whether a copyright claim in the work (or the collective
work, if a contribution) was ever registered in the Copyright Oce.
You can search online at
www.copyright.gov
for registrations made
since 1978. To search records prior to 1978, you can:
1 Come to the Copyright Oce, Madison Building, 101 Indepen-
dence Avenue, Washington, DC, where copies of the original
registrations and catalog entries are available to the public. (Call
the Copyright Oce Public Information Oce at (202) 707-3000
or visit the Copyright Oce website for information about public
hours.)
2 Search the Catalog of Copyright Entries at a public library.
3 Request an ocial search by the Copyright Oce. (See Circular 22
about requesting a search and the accompanying fees.)
Line-by-Line Instructions
Section 1
·
Title Information
In line 1a give the title of the work upon which eligibility for regis-
tration is based. If the work is a periodical, give the volume, number,
and issue date. If copyright is claimed in a contribution to a peri-
odical or other collective work, give the title of the contribution in
line 1b.
Section 2
·
Author Information
In line 2a give the name of one author upon whom eligibility for
registration is based. In line 2b specify the author's citizenship
and
domicile at the time the work was rst published. If the work was
created as a joint work by multiple authors, only one author should
be named.
note:
For information about international copyright rela-
tions of the United States, see Circular 38.
Section 3
·
Publication Information
Give the complete date (month/ day / year) and the nation of rst
publication. If the work was published simultaneously in the United
States and a foreign country, state U.S. as the nation of publication.
Section 4
·
Manufacture Information
Complete this section
only
if the work consists predominantly of
nondramatic literary material, including periodicals and two-di-
mensional prints and labels, in the English language. If all of the
processes associated with the manufacture of copies of the work
were performed within the limits of the United States, check that
option. Otherwise, specify the nation where the work was manufac-
tured and the processes used in its manufacture. For example, you
might use terms such as “typeset, platemaking, lithographic pro-
cess, photoengraving process, printing and binding” to describe the
process(es), as applicable.
Section 5
·
Deposit Information
A deposit copy is required
only
if this is the rst registration of the
work, or of the collective work in which the contribution was rst
published. The deposit requirement is one complete copy of the
work as rst published.
Check
option 1
if you are sending a complete copy of the rst
published edition. If not, check
option 2
and describe the alternative,
acceptable material deposited, such as a complete photocopy of the
published edition or a reprint or reissue. If you check option 2, you
must include a photocopy of the title pages, the credits, or the album
cover of the work as rst published to show proof that the work was
rst published with an acceptable copyright notice. If you are unable
to send a complete photocopy or reprint or reissue, the Copyright
Oce may accept the following identifying material:
Printed literary, dramatic, or visual arts work ·
A photocopy of the
following pages from the published edition: (1) title pages showing
the copyright notice (and manufacturing imprint for literary works,
prints, and labels), (2) table of contents pages, and (3) rst and last
25 pages containing a representational amount of the authorship
claimed.
Musical work ·
A photocopy of the following pages from the
published edition: (1) title pages showing the copyright notice, (2)
list of contents pages, if any, and (3) at least one-third of the musical
content, representing the authorship claimed. If the copyright notice
is not on the title page(s), include the page containing it and explain
its position in relation to the work as a whole.
3-dimensional artwork ·
Photograph of the complete work as rst
published showing the copyright notice.
Contribution to a periodical or other collective work ·
A photocopy
of the following pages from the published edition: (1) masthead (for
periodical), (2) title page(s) of the larger work showing the copyright
notice (and manufacturing imprint for literary works, prints, and
labels), (3) table of contents pages, and (4) complete contribution or
work of authorship claimed.
Sound recording ·
A compact disc or cassette containing the
entire sound recording as rst published, and (1) photocopy of both
5
Instructions for Form RE/Addendum
Read these instructions before completing the application.
Use this form for
1 Works rst published
from January 1, 1964, through December 31, 1977,
but not registered
during the original term of copyright. This includes published sound recordings xed on or
after February 15, 1972.
note:
Sound recordings xed prior to that date are not eligible for federal
statutory protection with the exception of certain foreign sound recordings which may be eligible
under the Uruguay Round Agreements Act. See Circular 38. Such works cannot be registered with a
Form RE/Addendum.
2 Contributions, including prints and labels, by U.S. authors which were rst published abroad
in English-language periodicals or other collective works.
For best results, fill in the form on-screen and then print it.
4
·
 
/

sides of the original disk as rst published containing the original
copyright notice, and (2) photocopy of the original published jacket
or insert material.
note:
If the work is selected by the Library of Congress for its
collections, identifying material will not be acceptable. Instead, a
complete copy of the work as rst published will be required for
registration.
Section 6
·
Verication of Copyright Notice
For a published work to secure statutory copyright protection in the
United States prior to 1978 and maintain that protection, all autho-
rized copies publicly distributed in the United States or elsewhere
had to bear the required copyright notice until March 1, 1989, when
the United States joined the Berne Convention. If the statement
applies accurately to the work, print your name in full and sign your
signature.
Complete this form only if you answered “no” to question 1d on Form RE,
or if otherwise required (see accompanying instructions).
        .
do not write above this line.
1
 
A
Title of work:
If periodical, give: Volume: Number: Issue date:
B
If copyright is claimed in a contribution to this periodical or collective work, give title of contribution:
2
 
A
Name of the author of the work or material claimed:
B
This author was a citizen of
and
domiciled in
on the date of rst publication.
3
 
Date of rst publication (

/

/
)
:
/ /
Nation of rst publication: United States
or
Other:
nation
4
 
(
Complete this space only if the work consists predominantly of nondramatic literary material, including periodicals and two‑dimensional
prints and labels, in the English language. If not, go on to space 5.
)
Manufactured in the United States
Manufactured in: Specify manufacturing process:
nation type of process
5
 
(
Check only one.
)
One complete copy of the work as rst published is deposited.
A complete copy of the work as rst published cannot be deposited.
Describe deposit copy:
see the instructions about acceptable alternative deposit materials.
6
   
I hereby aver that all copies of this work as rst published bore the copyright notice as it appears in the deposit material, and
said copyright notice appeared on all copies of the work, including any reprint copies, publicly distributed in the United States or
elsewhere until March 1, 1989, and U.S. copyright subsists in the work.
Typed or printed name:
Date:
Signature:
5
Form RE/Addendum
For works
not
registered during original term
·
United States Copyright Oce
 / : 
/
 Printed on recycled paper ..   : xxx-xxx/xx,xxx
registration number
effective date of renewal registration (mm
/
dd
/
yyyy)
form re
/
add rec’d:
deposit copy rec’d:
selected
fee rec’d: page
_
of
_
For best results, fill in the form on-screen and then print it.