Copyright Response Form

COPYRIGHT RESPONSE FORM

This Copyright Response Form is entered into as of by and between Claimant Name: ("Claimant") and Respondent Name: ("Respondent").

RECITALS

WHEREAS, Claimant asserts that certain content identified below constitutes copyrighted material owned or controlled by Claimant and that such content has been the subject of an allegation of infringement;

WHEREAS, Respondent is the alleged provider or poster of the content or the operator of an online location where the content is hosted, and Respondent wishes to provide a formal written response to the assertion;

WHEREAS, the parties desire to record their respective statements, identifications, and certifications with respect to the identified material and any requested remedial action.

NOW, THEREFORE

In consideration of the mutual covenants and statements contained in this Form, the parties hereby agree as follows:

1. DEFINITIONS

For purposes of this Form, "Alleged Material" means the content identified below; "Location" means the internet location, URL, or physical location where Alleged Material is found; "Notice" means any written communication asserting alleged copyright infringement.

2. IDENTIFICATION OF MATERIAL

3. RESPONDENT'S STATEMENT

Respondent states the following in response to Claimant's assertion: (select all that apply and provide detail where requested)

Non-infringing use (fair use, licensed, owned, or public domain)

Counter-notice asserting good faith belief that material was removed in error

Other (explain)

4. REPRESENTATIONS AND CERTIFICATIONS

Each party represents and warrants that the statements made in this Form are true and correct to the best of their knowledge and that they are authorized to make the representations herein. Respondent certifies under penalty of perjury that the information in this Form is accurate and that Respondent has a good faith belief that the material was removed or disabled as a result of mistake or misidentification.

Respondent further agrees that, if submitting a counter-notice, Respondent consents to the jurisdiction of the federal district court for the judicial district in which Respondent's address is located (or, if Respondent's address is outside the United States, for any judicial district in which the service provider may be found) and will accept service of process from the claimant.

Claimant represents that it believes in good faith that the use of the material described above is not authorized by the copyright owner, its agent, or the law, and that Claimant is authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.

I certify under penalty of perjury that the foregoing is true and correct.

I consent to jurisdiction and service as set forth above.

5. REMEDIES AND INDEMNIFICATION

Each party acknowledges that remedies at law for breach of the representations in this Form may be inadequate. The breaching party shall indemnify and hold harmless the non-breaching party from and against all losses, liabilities, costs, and expenses (including reasonable attorneys' fees) arising out of any false or inaccurate representation or failure to perform obligations contained in this Form.

6. CONFIDENTIALITY

The parties agree that any confidential business or personal information disclosed pursuant to this Form shall be used only for purposes of resolving the dispute and shall not be disclosed to third parties except as required by law or as necessary in judicial or administrative proceedings arising from this matter.

7. NOTICES

Notices shall be in writing and shall be deemed given when delivered personally, by certified mail, or by reputable overnight courier to the addresses provided above.

8. AMENDMENTS; WAIVER

No amendment, modification, or waiver of any provision of this Form shall be effective unless in writing and signed by both parties. The failure of either party to enforce any right shall not constitute a waiver of that right.

9. GOVERNING LAW

This Form shall be governed by and construed in accordance with the laws of the jurisdiction specified below without regard to its choice-of-law rules.

10. ENTIRE AGREEMENT; SEVERABILITY; COUNTERPARTS

This Form constitutes the entire written agreement between the parties with respect to the subject matter hereof and supersedes all prior written or oral agreements. If any provision is held unenforceable, the remaining provisions shall remain in full force and effect. This Form may be executed in counterparts, each of which shall be an original and all of which together shall constitute one instrument.

ADDITIONAL INFORMATION (OPTIONAL)

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