APP-105-13 dated 04/18/12

INTELLECTUAL PROPERTY RIGHTS FORM

DVD & CD-ROM Intellectual Property Rights (IPR) Form

Go to CD/Enhanced Audio IPR Form »

Customer Information







Distribution Information

How Do You Plan
To Distribute Your Discs
Within an organization
Retail
Free
Other

Where You Plan
To Distribute Your Discs:
United States
Canada
Other

Project Information

  • Please select project type

    DVD-ROM
    DVD-Video

  • CD-ROM /DVD-ROM/USB Content Information

    If your project contains any software, freeware and shareware products please list them in the area below if applicable. Please submit licensing for all non-owed software. Some shareware and freeware products require distribution licensing. Consult the software vendor for what is necessary.


    • I understand that if I am not the owner of all the intellectual property rights for the entire contents on this disc, to include the music synched with the video and any supplied artwork, I am required to purchase licensing from the owner or owners of the intellectual property rights of the content. This includes any sampled recordings regardless of type, quantity, and length.

    • Letters of Indemnity are NOT adequate
    • LICENSED content requires proof of licensing prior to replication
    • OWNED content indicates that the individual/organization completing this form is the IPR owner
    • Must be completed by the organization soliciting replication and not by a broker or intermediary

    DVD Video Information


    #
    Track Title/Name
    Artist/Music Publisher Library
    Own    		 Licensed
    (Cover Songs)    		 Public
    Domain
    01
    02
    03
    04
    05
    06
    07
    08
    09
    10
    11
    12
    13
    14
    15

    If your DVD Video project, if applicable, has any music playing as background music or is being performed and sung by people in the video (synchronized with the video) please fill out the below information in the order the music is heard in the video. Synchronization Licensing is REQUIRED for any music synched into your video production. If authoring studio is using music from a purchased music publisher's library list the information below.


    I affirm that all information provided herein is true and that all disc contents indicated as being licensed are properly licensed for replication under the terms of the original rights holder with proof of such licensing and/or trademark authorization attached. I affirm that I am the intellectual property rights owner for all contents indicated as being owned and approve of replication.


    I, Your Name on dd, have read and agree to the terms above. By checking this box, I am certifying that I am authorized to sign this agreement. I affirm that my agreement here constitutes an electronic signature and that this signature meets any and all requirements for an original signature and is legally binding in all respects.