The person(s) submitting a document with a cover sheet is (are) solely
responsible for verifying the correctness of the cover sheet and the sufficiency
of the document. Recording a document submitted with or without a cover
sheet does not constitute a determination by the Copyright Office of the
document’s validity or the effect of that document. Only a court of law may
make such determinations.
This cover sheet and any additional sheets will be recorded with the
document as part of the official recordation.
Document Cover Sheet
Read these instructions before completing this form. Make sure all applicable spaces
have been filled in before you return this form, or the form cannot be used.
PRIVACY ACT ADVISORY STATEMENT
Required by the Privacy Act of 1974 (P.L. 93-579)
The authority for requesting this information is title 17 U.S.C.,sec. 205. Furnishing the
requested information is voluntary. But if the information is not provided, it may be necessary
to delay recordation.
The principal uses of the requested information are the establishment and maintenance of
a public record and the evaluation for compliance with legal requirements.
Other routine uses include public inspection and copying, preparation of public indexes,
preparation of public catalogs of copyright recordations, and preparation of search reports
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 cover sheet.
When to Use This Form: Use the Document Cover Sheet when
you are submitting a document for recordation in the U.S. Copyright Office.
Mailing Requirements: It is important that you send two
copies of the Document Cover Sheet, any additional sheets, the document,
and the fee together in the same envelope or package. The Copyright
Office cannot process them unless they are received together. Send to:
Documents Unit, LM-462, Cataloging Division, Copyright Office, Library