Continuation form for Renewal of Work (United States)
This is a copyright form for a continuation for renewal of work. The form provided here is simply a sample of what the actual Continuation Form RE looks like.
CONTINUATION SHEET FOR APPLICATION FORM RE
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER _____________________________
EFFECTIVE DATE OF RENEWAL REGISTRATION _______________________
CONTINUATION SHEET RECEIVED _____________________________
DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
A IDENTIFICATION OF CONTINUATION: This sheet is a continuation of Space 1 and Space 5 of the application for renewal registration on Form RE, submitted for the following:
• TITLE AT SPACE 2 OR TITLE OF FIRST OF GROUP OF WORKS IN WHICH RENEWAL IS CLAIMED: Give first title as given in Space 5 of Form RE.
_____________________________
• RENEWAL CLAIMANT AND ADDRESS: Give the name and address of at least one renewal claimant as given in Space 1 of Form RE.
_____________________________
B RENEWAL CLAIMANT(S), ADDRESS(ES), AND STATEMENT OF CLAIM: See Instructions on basic Form RE.
Continuation of Space 1
____ Name _____________________________
Address _____________________________
Claiming as _____________________________
____ Name _____________________________
Address _____________________________
Claiming as _____________________________
____ Name _____________________________
Address _____________________________
Claiming as _____________________________
C Continuation of space 5
____ Title of Contribution: _____________________________
____ Title of Periodical: _____________________________
Vol. _____________________________
No_____________________________
Issue Date _____________________________
Date of Publication: _____________________________
Registration Number: _____________________________
____ Title of Contribution: _____________________________
____ Title of Periodical: _____________________________
Vol. _____________________________
No_____________________________
Issue Date _____________________________
Date of Publication: _____________________________
Registration Number: _____________________________
____ Title of Contribution: _____________________________
____ Title of Periodical: _____________________________
Vol. _____________________________
No_____________________________
Issue Date _____________________________
Date of Publication: _____________________________
Registration Number: _____________________________
Certificate will be mailed in window envelope to this address:
Name _____________________________
Number/Street/Apt _____________________________
City/State/ZIP _____________________________
YOU MUST:
• Complete all necessary spaces
• Sign your application in Space 7
SEND ALL 3 ELEMENTS
IN THE SAME PACKAGE:
1. Application form
2. Nonrefundable $45 filing fee in check or money order payable to Register of Copyrights
MAIL TO:
Library of Congress, Copyright Office
101 Independence Avenue, S.E.
Washington, D.C. 20559-6000
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INSTRUCTIONS FOR FILLING IN FORM
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• Use this continuation sheet only in conjunction with basic Form RE.
• Use this sheet only if you need more space to continue the listing started in Space 1 and/or Space 5 of Form RE. Use as many additional continuation sheets as you need.
• Use the continuation of Space 5 on this sheet only for contributions to periodicals by the same individual author that were published in the same calendar year.
• Follow instructions accompanying Form RE in filling out this continuation sheet. Number each line in Spaces B and C consecutively.
• Submit this continuation sheet with the basic Form RE and the other continuation sheets, if any.
Clip (do not tape or staple) and fold all sheets together before submitting them.
• Type or clearly print all information in black ink.