Reporting Copyright Infringement to Educational Research Service
Copyright Agent
Educational Research Service, Inc.
1001 North Fairfax Street, Suite 500
Alexandria, VA 22314-1587
FAX: (800) 791-9308
This form is only for reporting copyright infringement. If you believe that your work has been copied and is accessible on this service in any way that constitutes copyright infringement, you may notify us by providing us with the following information:
Your Name:______________________________________________________
Your E-mail Address:______________________________________________
Your Mailing Address:_____________________________________________
Your Telephone Number:___________________________________________
Identify the URL, Path or other specific location on the service where the allegedly infringing material is located:______________________________________________________
Describe the allegedly infringed work, including (if available), the URL, Path or other specific location where the copyright work may be found for comparison: _____________________________________________________________________ _____________________________________________________________________
Your relationship to the owner of the allegedly infringed work (e.g., owner, authorized representative):_________________________________________________________
By submitting this complaint, you represent under penalty of perjury, that the above information is accurate, that you are the copyright owner or are authorized to act on the copyright owner's behalf, and that you have a good faith belief that the disputed use is not authorized by the copyright owner, its agent, or the law.
Signature:______________________________________________________
Date:______________________________________________________
