Application for Registration of a Copyright in a Work

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.

Privacy Notice
All personal information created, held or collected by the Canadian Intellectual Property Office is protected under the Privacy
Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of
access to that information. You will be asked for your consent where appropriate. Read the full notice: cipo.ic.gc.ca/notice

1. Title of the work:
Enter the title of a single work. Descriptive matter that does not form part of the title should not be included.

2. Category of the work:
Select the category that best describes the work.

Literary (works consisting of text, i.e., books, pamphlets, computer programs, etc.);

Musical (musical compositions, with or without words);
Artistic (paintings, drawings, maps, sculptures, plans, photographs, etc.);
Dramatic (screenplays, scripts, plays, films, etc.).

3. Publication:
Select whether the work is published or unpublished. If the work is published, enter the full date (year, month
and day) and the place of first publication.

The work is unpublished

OR
The work is published

Date of first publication (yyyy/mm/dd):

Place of publication:

City/Town Province/State

Country

4. 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 Province/State

Country Postal/Zip Code

OPTIONAL INFORMATION

Telephone Fax

Email Address

5. Author:
Enter the name of the author of the work. Note: The individual who created the work should be named as the author
except in the case of a photograph, where some other legal entity can be named. To add additional authors, please
attach a separate sheet.

Same as owner - Select if the author information is identical to the owner information, and proceed to Section 6.
Note: A corporation should not be named as an author, except in the case of a photograph.

Family name First name

OR Name of other legal entity

If deceased, date of author’s death (yyyy/mm/dd):

OPTIONAL INFORMATION
Address

City/Town Province/State

Country Postal/Zip Code

6. Declaration:
I/We hereby declare that the applicant is:
the author of the work;
the owner of the copyright in the work;
an assignee of the copyright;
a licensee of the copyright.

7. 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 Province/State

Country Postal/Zip Code

OPTIONAL INFORMATION

Telephone Fax

Email Address

8. 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.

All correspondence should be addressed to:

Copyright Office Telephone: 1-866-997-1936

Canadian Intellectual Property Office Facsimile: 819-953-2476
Industry Canada Internet address: cipo.gc.ca/copyrights
Place du Portage I Email: cipo.contact@ic.gc.ca
50 Victoria Street
Gatineau, QC K1A 0C9

Please do not send copies of your work.