Search Request Form

Copyright Office	Reference & Bibliography 
Library of Congress	Section 
Washington, D.C. 20559	(202) 707-6850
	8:30 a.m.-5 p.m. Mon.-Fri.
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Type of Work:
[   ] Book	[   ] Music	[   ] Motion Picture
[   ] Drama	[   ] Sound Recording	[   ] Photograph/Artwork
[   ] Map	[   ] Periodical	[   ] Contribution
[   ] Computer Program	[   ] Mask Work
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Search Information You Require:
[   ] Registration	[   ] Renewal	[   ] Assignment	[   ] Address
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Specifics of Work To Be Searched:
Title: _________________________________
Author: _______________________________
Copyright claimant (if known):	________________________________
(name in copyright notice)
Approximate Year/Date of Publication/Creation: ____________
Registration number (if known): _______________________________
Other identifying information: _________________________________
If you need more space please attach additional pages.
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ESTIMATES ARE BASED ON THE COPYRIGHT OFFICE FEE OF $20.00 AN HOUR OR FRACTION OF AN HOUR CONSUMED. THE MORE INFORMATION YOU FURNISH AS A BASIS FOR THE SEARCH THE BETTER SERVICE WE CAN PROVIDE.  THE TIME BETWEEN THE DATE OF RECEIPT OF YOUR FEE FOR THE SEARCH AND YOUR RECEIVING A REPORT WILL VARY FROM 8 TO 12 WEEKS DEPENDING ON WORKLOAD.
NAMES, TITLES, AND SHORT PHRASES ARE NOT COPYRIGHTABLE.
Please read Circular 22 for more information on copyright searches.
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Your name: ___________________
Date: ____________
Address:	_____________________
_____________________
Daytime telephone no. ____________
Convey results of estimate/search by telephone?	[   ] yes	[   ] no
Fee enclosed?	[   ] yes	Amount $_______
[   ] no