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IP Claim Form

Are you the Rights Owners or an Agent?
Rights Owner
Agent
Please, select the type of infringement you're reporting
Registration Information(Optional)
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A link to the work
Additional Information
Product URL you are reporting
You Contact Details
* First Name
* Last Name
Company(Optional)
* Rights Owner Name
* Rights Owner Company Name
* Brand
* Legal Address
Zip Code
* Phone Number
* Email Address
* Please Provide Details About Your Report (limit 240 characters)
* I have a good faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, its agent, or the law.
* This notification is accurate; and UNDER PENALTY OF PERJURY, I am authorized to act on behalf of the owner of an exclusive right that is allegedly infringed.
* I acknowledge that under Section 512(f) of the DMCA any person who knowingly materially misrepresents that material or activity is infringing may be subject to liability for damages.
* I understand that abuse of this tool will result in termination of my Blush Mark account.
* Typing your full name in this box will act as your digital signature
Please review your contact information and make sure it is correct before clicking Submit.
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