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For Group/Daily Newspapers and Newsletters (United States)

This is a copyright form for daily newspapers and newsletters. The form provided here is simply a sample of what the actual Form G/DN looks like.


FORM G/DN
For Group/Daily Newspapers and Newsletters

UNITED STATES COPYRIGHT OFFICE

REGISTRATION NUMBER ___________________________

EFFECTIVE DATE OF REGISTRATION ___________________________ (Assigned by Copyright Office)

APPLICATION RECEIVED

Month ___________________________

Day ___________________________

Year ___________________________

ONE DEPOSIT RECEIVED ___________________________

EXAMINED BY ___________________________

FEE RECEIVED ___________________________

CORRESPONDENCE ❏

DO NOT WRITE ABOVE THIS LINE.

----------------------------

1 If no previous registration under identical title, check here

1 TITLE OF THIS ❏ NEWSPAPER AS IT APPEARS ON THE COPIES

City/State ___________________________

❏ NEWSLETTER

Month and year date on copies ___________________________

Number of issues in this group ___________________________

ISSN ___________________________

Edition ___________________________

2 NAME AND ADDRESS OF THE AUTHOR/COPYRIGHT CLAIMANT IN THESE WORKS MADE FOR HIRE

___________________________

___________________________

AUTHOR'S CONTRIBUTION (check all that apply)

❏ Editing ❏ Compilation ❏ Text ❏ Other

3 DATE OF PUBLICATION OF THE FIRST AND LAST ISSUES IN THIS GROUP Important: Give month, day, and year

(First) Month ___________________________

Day ___________________________

Year ___________________________

(Last) Month ___________________________

Day ___________________________

Year ___________________________

CERTIFICATION*: I, the undersigned, hereby certify that I am the copyright claimant or the authorized agent of the copyright claimant of the works identified in this application, that all the conditions specified in the instructions on the back of this form are met, and that the statements made by me in this application are correct to the best of my knowledge.

Handwritten signature (X) ___________________________

Typed or printed name of signer ___________________________

PERSON TO CONTACT FOR CORRESPONDENCE ABOUT THIS CLAIM

Name ___________________________

Daytime telephone number ___________________________

Address (if other than given below) ___________________________

Fax ___________________________

Email ___________________________

DEPOSIT ACCOUNT

Account number ___________________________

Name of account ___________________________

*17 U.S.C. §506(e): Any person who knowingly makes a false representation of a material fact in the application for copyright registration provided for by section 409, or in any written statement filed in connection with the application, shall be fined not more than $2,500.

Name ___________________________

Number/Street/Apt ___________________________

City/State/ZIP ___________________________

YOU MUST:
• Complete all necessary spaces
• Sign your application

SEND ALL 3 ELEMENTS IN THE SAME PACKAGE:
1. Application form
2. Nonrefundable filing fee in check or money order payable to Register of Copyrights
3. Deposit material

MAIL TO:

Library of Congress, Copyright Office
101 Independence Avenue, S.E.
Washington, D.C. 20559-6000

----------------------------
INSTRUCTIONS FOR FILLING IN THE FORM
----------------------------

NEWSPAPERS

When to use this form for newspapers:

All the following conditions must be met to use this form. If any one of the conditions does not apply, you must use Form SE.

1. The work must be a daily newspaper. See definition below.

2. The work must be a "work made for hire," and the author and copyright claimant must be the same person or organization.

3. Each issue must be an essentially all new collective work or an essentially all new issue that has not been published before.

4. The claims must include all issue dates within 1 calendar month within the same year.

5. The application must be filed within 3 months of the last publication date included in the group.

6. The required deposit must be submitted. See below.

What to deposit for newspapers:

A deposit of positive 35mm silver-halide microfilm that includes all issues within the calendar month must accompany the application. Final editions are required when two or more daily editions are published.

In some cases, the publisher may be exempted from sending microfilm. The Copyright Acquisitions Division of the Copyright Office will notify the publisher if a newspaper is exempted. For an exempted newspaper, an optional deposit may accompany the application. This deposit should consist of (1) complete print copies of the first and last issues of the month, or (2) print copies of the first section of the first and last issues of the month, or (3) print copies of the first page of the first and last issues of the month.

NEWSLETTERS

When to use this form for newsletters:

All the following conditions must be met to use this form. If any one of the conditions does not apply, you must use Form SE.

1. The work must be a daily newsletter. See definition below.

2. The work must be a "work made for hire," and the author and copyright claimant must be the same person or organization.

3. Each issue must be an essentially all new collective work or an essentially all new issue that has not been published before.

4. The claims must include two or more issue dates within 1 calendar month within the same year.

5. The application must be filed within 3 months of the last publication date included in the group.

6. All issues in the group must have been first published on or after July 1, 1999. For information about newsletters published before July 1, 1999, please call the Examining Division at (202) 707-8250.

7. The required deposit must be submitted. See below.

What to deposit for newsletters:

In all cases, one complete copy of each issue included in the group must accompany the Form G/DN. If the newsletter is published only online, one complete print-out of each issue or a computer disk (or CD-ROM) containing all the issues and a print-out of the first and last issues included in the group must be sent.

Additional material must be sent only if specifically requested by the Copyright Acquisitions Division. The request will specify the nature of the additional material, which will be either (1) one microfilm copy meeting the specifications given above for newspapers, or (2) one or two complimentary subscriptions for the Library of Congress.

IMPORTANT: The microfilm or subscriptions should be sent to a separate address specified in the request from the Copyright Acquisitions Division. This material should not be sent with Form G/DN. Unless expressly requested, no microfilm or subscription copies are required.

PRIVACY ACT ADVISORY STATEMENT
Required by the Privacy Act of 1974 (P.L. 93-579)

The authority for requesting this information is title 17 U.S.C., secs. 409 and 410. Furnishing the requested information is voluntary. But if the information is not furnished, it may be necessary to delay or refuse registration and you may not be entitled to certain relief, remedies, and benefits provided in chapters 4 and 5 of title 17, U.S.C.

The principal uses of the requested information are the establishment and maintenance of a public record and the examination of the application for compliance with the registration requirements of the copyright code.

Other routine uses include public inspection and copying, preparation of public indexes, preparation of public catalogs of copyright registrations, and preparation of search reports upon request.

NOTE: No other advisory statement will be given in connection with this application. Please keep this statement and refer to it if we communicate with you regarding this application.

HOW TO REGISTER

Send the following three items together in the same envelope or package:

1. completed and signed Form G/DN
2. deposit (see above)
3. $55 filing fee

Send this material to:

Library of Congress
Copyright Office
101 Independence Avenue, S.E.
Washington, D.C. 20559-6000

IMPORTANT: Fees are effective through June 30, 2002. After that date, check the Copyright Office Website at www.loc.gov/copyright or call (202) 707-3000 for current fee information.

DEFINITIONS

Newspaper: As defined by the Newspaper Section of the Serials and Government Publications Division of the Library of Congress, works classified as newspapers are serials mainly designed to be a primary source of written information on current events, either local, national, or international in scope. Newspapers contain a broad range of news on all subjects and activities and are not limited to any specific subject matter. Newspapers are intended either for the general public or for a particular group.

Newsletter: For registration purposes, a daily newsletter is defined as a serial published and distributed by mail or electronic media (online, telefacsimile, cassette tape, diskette, or CD-ROM). Publication must occur at least 2 days per week, and the newsletter must contain news or information of interest chiefly to a special group (for example, trade and professional associations, corporations, schools, colleges, and churches). Daily newsletters are customarily available by subscription and are not sold on newsstands.

Collective Work: A "collective work" is a work, such as a periodical issue, in which a number of contributions, constituting separate and independent works in themselves, are assembled into a collective whole.

Work Made for Hire: A "work made for hire" is defined as: (1) a work prepared by an employee within the scope of his or her employment; or (2) a work specially ordered or commissioned for certain uses (including use as a contribution to a collective work), if the parties expressly agree in a written instrument signed by them that the work shall be considered a work made for hire. The employer is the author of a work made for hire. For more information, request Circular 9, "Works Made for Hire Under the 1976 Copyright Act."

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