For Mask Works (United States)
This is a copyright form for mask works (MW) continuation. The form provided here is simply a sample of what the actual Form MW/CON looks like.
FORM MW/CON
For Mask Works
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER MW ___________________________
EFFECTIVE DATE OF REGISTRATION
__________________ Month ____________________ Day ________ Year
CONTINUATION SHEET RECEIVED
Page ________ of ________ pages
CONTINUATION SHEET FOR FORM MW
• This sheet should be used to complete information appearing on Form MW.
• Identify the work by completing the first section.
• Spaces are provided to identify two additional owners.
• Other information may be provided in the last space.
DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
IDENTIFICATION OF CONTINUATION SHEET: This sheet is a continuation of the application for registration on Form MW filed for the following work:
•TITLE: Give the title as given under the heading "Title of This Work" in space 1 of Form MW.
•NAME AND ADDRESS OF CURRENT OWNER(S): Give the name and address of at least one of the owners named at space 3 of Form MW.
NAME AND ADDRESS OF CURRENT OWNER(S)
___________________________
___________________________
CITIZENSHIP OR DOMICILE OF CURRENT OWNER(S)
Citizen of: ___________________________
or
Domiciled in: ___________________________
DERIVATION OF OWNERSHIP: If the person who created the mask work which is subject matter of this application is NOT named as the owner, check one: (Note: If a company or organization is named as the current owner, one of the following boxes must be checked.)
____ a. The owner is the employer of a person who created such mask work within the scope of his/her employment.
____ b. The owner has acquired the rights by transfer from the creator, employer or representative.
____ c. The owner is the legal representative of the deceased or legally incapacitated creator.
NAME AND ADDRESS OF CURRENT OWNER(S)
___________________________
___________________________
CITIZENSHIP OR DOMICILE OF CURRENT OWNER(S)
Citizen of: ___________________________
or
Domiciled in: ___________________________
DERIVATION OF OWNERSHIP: If the person who created the mask work which is subject matter of this application is NOT named as the owner, check one: (Note: If a company or organization is named as the current owner, one of the following boxes must be checked.)
____ a. The owner is the employer of a person who created such mask work within the scope of his/her employment.
____ b. The owner has acquired the rights by transfer from the creator, employer or representative.
____ c. The owner is the legal representative of the deceased or legally incapacitated creator.
ADDITIONAL INFORMATION: Indicate the Heading and the Space Number from the basic Form MW being amplified, followed by the added facts.
___________________________
___________________________