Application for Registration of a Copyright in a Performer’s Performance, Sound Recording or Communication Signal
Please print. For assistance in completing the form, please refer to the "Assistance" page.
Notice: information entered in this application will be published on the copyright online database that is available for public inspection on CIPO's website.
Note: It is the applicant's responsibility to ensure the accuracy of the included information.
1. Title of the subject-matter: Enter the title of the subject-matter. Note: The application must relate to the registration of only one performer's performance, sound recording or communication signal.
________________________________________________________________________
________________________________________________________________________
2. Subject-matter: Select the type of subject-matter. For a performer's performance, enter the date of its first fixation in a sound recording or of its first performance if it is not fixed. Enter the date of first fixation for a sound recording, or the date of broadcast in the case of a communication signal.
| Type | yyyy | mm | dd |
| OR | ___ | ___ | ___ |
| ___ | ___ | ___ | |
| ___ | ___ | ___ |
3. Owner: Enter the name and address of the owner of the copyright. To add additional owners, please attach a separate sheet.
Family name ____________________ First name __________________
OR
Name of other legal entity
________________________________________________________________________
Address
________________________________________________________________________
City/ Town ______________________
Prov./ State ____________________
Country _________________________
Postal/ ZIP code ________________
Optional Information:
Telephone (___)______________
Fax (___)_____________________
E-mail ______________________
4. Declaration
I/We hereby declare that the applicant is:
5. Agent (if applicable): This section is to be completed only if the application is being submitted by an agent acting on behalf of the applicant.
Family name ____________________ First name __________________
AND/OR
Name of firm
________________________________________________________________________
Address
________________________________________________________________________
City/ Town ______________________
Prov./ State ____________________
Country_________________________
Postal/ ZIP code ________________
Optional Information:
Telephone (___)______________
Fax (___)____________________
E-mail ______________________
6. Fee: In accordance with Item 1 of the Tariff of Fees, the prescribed fee is required for each application for registration of a copyright. Payment should be submitted at the same time as the application using CIPO's Fee Payment Form. Please see the "Assistance" page for further details.
(For Canadian Intellectual Property Office use only)
All correspondence should be addressed to:
Copyright Office
Canadian Intellectual Property Office
Industry Canada
Place du Portage I
50 Victoria Street
Gatineau, Quebec K1A 0C9
Telephone: 1-866-997-1936
Facsimile: 819-953-2476
Internet address: www.cipo.gc.ca
E-mail: cipo.contact@ic.gc.ca