Copyright Registration Questionnaire

Thank you for choosing Indie Artist Resource to register your copyrights. Please answer the following questions so that Indie Artist Resource may process your copyright registration.

Copyright Registration Questionnaire

IAR Order Number *Please insert your IAR Order Number here so that we can match your mark information to your order.

Engagement Letter

Date *Please select today's date.
Name *Please enter your full legal name.
Address *
Please enter your full address.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
E-mail *Please enter your e-mail address.
Dear *(Please enter your first name in the space above.)
Re: Engagement of Attorney Services Thank you for purchasing a copyright registration service through Indie Artist Resource and choosing to engage me as your attorney for purposes of this copyright registration service. This letter serves to provide a framework to guide our relationship as attorney and client. First, I will summarize the services I will provide to you, followed by a confirmation of the legal fees we discussed and some other miscellaneous items.
Services *I will process and submit your copyright registration information for
(“Registration”). You understand and agree that your Registration will be processed solely based on the information you provide to me and I, any of my affiliates, employees, agents, or otherwise, and Indie Artist Resource will not be liable for any mistakes made in your Registration based on the information you provide. You also understand and agree that when I have submitted your Registration to the United States Copyright Office, our attorney-client relationship will terminate and I will not owe you any obligations, whether they are past, present, or future. At your request, I will handle any other matters on your behalf in relation to your career in the music and entertainment industries, subject to a new engagement letter and fee agreement as described below.
Fees *You agree to pay to me, and I agree to accept, the amount of
, payable prior to the Registration (“Fee”). If you require or request my services whether for additional Registrations or for another matter, you agree that we will enter into a new engagement letter and fee agreement with an appropriate retainer amount at that time for the continuation of my services.

Responsibilities
As your attorney, I will counsel you on the aforementioned matter(s) and answer your questions to the best of my ability. It is understood that you shall solely make all final business decisions.

As my client, you will be honest with me regarding all information provided in the Registration. You shall also pay the amount due on all invoices, as provided above.

Joint Representation (this section is applicable to bands or registrations with more than one person only)
All of you have agreed to be jointly represented by me, but you each understand your right to retain separate counsel. You acknowledge and confirm that you: (1) have been made aware of the considerations and risks involved with representation of multiple parties; (2) have had the opportunity to consult with independent counsel regarding any concerns or chosen to proceed without independent counsel; and (3) have consented to the arrangement.

Clients are entitled to confidentiality and the attorney-client privilege, but there is no such entitlement from each other; no one client in a joint representation will have an independent claim to confidentiality. Because I owe a duty to each client to keep him or her adequately informed, any relevant information revealed by one client may be discussed with all. Additionally, while these shared confidences are protected from third parties, all clients are entitled to be made aware of any information obtained from a third party source, including those revealed by one of the clients. If information is revealed by one client to a third party, protections of privilege and confidentiality may be lost for all. Finally, in the event that a conflict arises between clients, information communicated during the course of representation would not be privileged or confidential in any subsequent proceedings to resolve the dispute.

Inherent to joint representations are also considerations of potential conflicts of interest. The most important requirement is that a common stance be taken on all issues; I cannot take contrasting positions on behalf of one client over the other. While interests may be the same at the onset of the matter, it is not uncommon for circumstances to change and cause a divergence of interests. Though I do not currently anticipate any reasons for this to occur, some or all of you may be required to obtain new counsel in the event that it does.

The nature of the conflict will dictate whether I can continue to provide services to all, some, or none of you, but if representation is to continue for any client in the face of a conflict, all clients must consent to the arrangement. This consent must include indication from each client that the information provided prior to withdrawal may be used during the continued representation of the remaining clients and that he or she will not seek to disqualify me from continuing services. Additionally, in signing this agreement and acquiring my services, each client agrees that if he or she voluntarily withdraws from the attorney-client relationship without the cause of a conflict of interest, I will continue to represent the remaining clients, that information provided prior to withdrawal may be used in the course of this representation and that disqualification of my services will not be sought.

Miscellaneous
The Fee for your Registration is non-refundable, even if you fail to provide the information required for your Registration and your Registration is not processed. The client (you) will also bear the responsibility for any bank or other fees owed for bounced or insufficient payment.

Under California law, whether I have completed the tasks you have asked me to complete or not, either of us can end our relationship and terminate this engagement at any time. Please note that no refund of the Fee shall be given in the event either of us terminate this engagement as both of us acknowledge termination of this engagement will put me out of pocket time and money for undertaking the Registration.

My failure at any time to require performance of any provision hereof shall in no way affect my right thereafter to enforce same; nor shall a waiver by me of any breach of any provision hereof be construed as a waiver of any other breach.

You acknowledge that you have been represented by independent legal counsel or have had the opportunity to be represented by independent legal counsel of your own choice for the purposes of advising you in connection with reviewing and accepting this agreement. Additionally, you acknowledge that if you have not been represented by independent legal counsel of your own choice for purposes of advising you in connection with reviewing and accepting this agreement, such decision was determined solely by you without any interference by me or any person, firm of corporation affiliated with or related to me.

If, after reviewing this letter and discussing any questions you have, this letter reflects your understanding of the scope and terms of our relationship for this engagement, please electronically sign this letter where indicated below and return it to me by clicking the "Submit" button.

I look forward to working with you.

Sincerely,

/ Erin M. Jacobson /

Erin M. Jacobson, Esq.

By typing my name in the box below, I acknowledge that I have read and understand this letter, which explains the terms and conditions upon which Erin M. Jacobson, attorney, agrees to represent me and that I agree to the terms and conditions described herein. I certify under penalty of perjury that I am the named party on this engagement letter and person whose name appears in the box below, I have the legal authority to request the legal services covered by this engagement letter, and the act of typing my name shall represent my signature.
Signature *Please type your full name in the box above to represent your signature.
Date *Please select today's date.
I have read and understand the Electronic Information Safety sheet. *
Click here for the Electronic Information Safety Sheet.Agree.
I consent to communicating electronically with IAR, Erin M. Jacobson, Esq., and any of IAR's or Ms. Jacobson's Affiliates. *
Agree.
Please write a short paragraph explaining your matter and the services you are seeking from IAR. *

Copyright Registration Information

1. Which Item do you wish to register? *
Choose one.Musical Composition(s) OnlySound Recording Only
2. What is the title of the work? *
If you are registering multiple titles, please list each title on it's own line. NOTE: If there are any alternate titles to the work(s), please list those alternate titles next to the main title of the work in parenthesis. For example, Title (Alternate Title).
3. What is this work? *
Check all that apply.Music OnlyLyrics OnlyMusic and LyricsSound Recording

Author Information

4. What is the name of the work's author? *Please list the author's full legal name. Middle name is optional.
5. What is the author's birth date? *
6. What is the author's year of death? If the author is currently living, leave this question blank.
7. What is the author's country of citizenship? *
8. What did the author contribute to this work? *
For musical compositions, options are: music, lyrics, or music and lyrics. For sound recordings, options are: sound recording, performance, and production. If you are registering both the composition and sound recording, you can list any of the above options that apply.
9. Is the author's contribution to the work a "work made for hire?" *
A “work made for hire” means that even though you composed the work or performed on it, someone else (either your employer or someone you have a contract with) will own the work.YesNo
10. Is the author's contribution anonymous? *
If author’s contribution is anonymous, the author’s name will not be listed on copies of the work.YesNo
11. Is the author's contribution pseudonymous? *
If author’s contribution is pseudonymous, the author will be identified on copies of the work using a fictitious name.YesNo
12. If you answered "yes" to the Question 11, please list the fictitious name that will be used. If you answered "no," to Question 11, please leave this space blank and proceed to Question 13.
If there is more than one author of the work, please click the link below to add more authors. Click this link to add more authors.

Creation and Publication

13. In what year did you create and finish this work? *
14. Has this work been published? *
Published means that the work has been recorded and sold or otherwise distributed to the public. If you answer “no,” your application will be filed as an “unpublished” work and you will need to file another application once your work has been published.YesNo
15. If you answered "yes" to Question 14, please list the month, day, and year that the work was published. For example, this could be the date your album was released or when you posted your song on your website.

Ownership and Nature of the Work

16. Who is claiming ownership of the copyright to this work? *
This may be the same as the authors, or it may be a person or company different than the author if the work is a “work made for hire” or if the author has transferred the copyright to someone else. Please choose one of the following options:The Author(s) listed above.An employer, company, or another person as a “work made for hire.”You have transferred your ownership in the work to someone else (not as a “work made for hire”)
17. If you chose "The author's listed above" in Question 16, please the Author(s)’ name and include the Author(s)’ physical address in the space below.
If you did not choose this option, leave this section blank.
18. If you chose "work made for hire" in the Question 16 regarding claiming ownership, please list the name and physical address of the person or company who will own the work.
If you did not choose this option, leave this section blank.
19. If you chose "work made for hire" in Question 16, please choose one of the following options as to why the work is a "work made for hire."
If you did not choose this option, leave this section blank.EmployerBy contract.
20. If you chose the option in Question 16 above that someone else will own the work due to a transfer that is not a work made for hire, please include the name and address of the person or company who will own the work.
If you did not choose this option, leave this section blank.
21. If you chose the option in Question 16 above that someone else will own the work due to a transfer that is not a work made for hire, please choose one of the following option to indicate how the work was transferred between the author and the owner.
If you did not choose this option, leave this section blank.By written contractTransfer of all rights by authorAssignmentBy will
22. Has this work ever been registered for copyright before?
If no, proceed to the next question. If yes, please check one of the following:The work was previously registered in unpublished form and now I/we wish to register it in published form.This is the first application submitted by the author as a copyright claimant (meaning the author was not listed on the previous application).The work has been changed since the last registration.
23. Is the work a derivative work?
If no, proceed to the next question. If yes, please answer the following: Identify any preexisting works that this work is based on or incorporates. (For example: “This is the French translation of ‘My Great Song’” or “This is the dance mix of ‘My Great Song’” or “I have created a parody of ‘Existing Great Song’”). Also, give a brief, general statement of the MATERIAL THAT HAS BEEN ADDED to this work and in which copyright is claimed. (For example: “This is a revised version of ‘My Great Song’ with revisions throughout” or “This is the arrangement of ‘My Great Song’ for piano and orchestra” or “This is a new version of ‘My Great Song’ for a film”).
24. Is this work a compilation?
If no, proceed to the next question. If yes, please answer the following: Give a brief, general statement of the MATERIAL THAT HAS BEEN ADDED to this work and in which copyright is claimed. (For example: “I have compiled an album of songs all about bacon.”).

Contact Information

Please list the name and contact information of the person to be contacted by the Copyright Office for any correspondence regarding this application. Please note, this will become public record on the Copyright Office’s online registry of registered copyrights.
25. Name *
26. Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
27. Telephone Number *
28. Fax Number
29. E-mail Address *

Authorization for IAR to Complete Your Registration

30. You authorize that Erin M. Jacobson, Esq. or any other representative of IAR may sign the copyright application on your behalf as your registered agent. *
If you do not agree, IAR cannot sign and process your application on your behalf.I agree.I DO NOT agree.
31. To complete your granted authorization in Question 30 above, please type your full name below in between two forward slashes. *For example: / Name /
32. Please type today's date. *

Certificate Information

33. Please list the name of the person where the registration certificate should be sent. *Please note, this will become public record on the Copyright Office’s online registry of registered copyrights.
34. Please list the address of the person where the registration certificate should be sent. *
Please note, this will become public record on the Copyright Office’s online registry of registered copyrights.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Upload the work that is the subject of this application.

Instructions This submission may include items the following: sheet music or mp3 files of a song or album. If you are submitting sound recordings, please upload each track individually. If you need more upload boxes, please click here.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
File Upload Please label your file name with the author's name and title of the work. If you do not label your file as such, your application may not be processed correctly.
If you need to upload more files, please click the link below. Click here to upload more files.
Filing of Application Once your application is submitted, you will receive a confirmation e-mail that your application has been submitted to the Copyright Office. Once IAR submits your application, all further correspondence regarding this application shall be between you or the Copyright Claimant and the Copyright Office. IAR’s services are considered completed once the application is filed.

Verification

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