DMCA Take Down Request Amazon Form Builder

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Authorisation Letter - Amazon

A form for compliance with Amazon takedown notification requests.

If you don't think this is the right form for your needs, please select a new one from this list:

Please be advised that you will need to send a PayPal transaction at the end of the form, so have your account login available! The payment is 0.60¢ and goes to support the site costs.
Personal Details

Add the necessary personal details in the top section of the form. The subsequent section is if you require a different name and address for a company.
Your Name*
Add your official legal name here.
First Last
Your registered address*
Add your registered address for the person named above.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Your contact Phone number*
A phone number where Amazon can contact you in case of a query.
Your Contact Email*
An email address by which Amazon can reply to the complaint.
Enter Email Confirm Email
Name of art piece/work*
Add the name of your art piece/work as named in the gallery link you will provide, or as registered.
Example of Original*
Add an example of the original work here. Best advised it belongs on a site run by you as a work site, or a known portfolio site.
Company/Infringer details*
Tick one or both to add and different company and infringer details if they vary from above. This is not required, but if different may assist Amazon in their judgement. And in the case of the infringer, your contact details (are and Email) will be passed to them if not different in the section below.
- Add company details?
- Add infringer details?
- Add amazon details? Tick this to continue!
Company Details

Add here any contact details that maybe different from above, if you wish Amazon to consider you a Seller.
Name of Company or Trading Name
Add the name of your company or trading name
Owner's Name
Add the name of the legal owner of the Company named above.
First Last
Company Address
And the registered address of the company if different from section one.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Company Phone
Company Email
Enter Email Confirm Email
Add alternative details for infringer contact

Add a different set of details for Amazon to pass to the infringer, incase they wish to contact you on the matter.
Your Name
Add your name here for reference to the infringer.
First Last
Alternative Email
An alternative email address that the infringer can contact you on.
Enter Email Confirm Email
Amazon Details

Add the necessary details here for Amazon to take the necessary actions against the infringement case.
Select the Amazon platform*
Choose which Amazon platform you have found the infringement on, and the form when sent will direct the case and attached PDF to the necessary copyright department. If you choose Japan you will need to fax the form, but details will be given in the confirmation email.
ASIN Number*
The ASIN number is the unique identifier for the product, if can be found in the details section of the product, or in the URL bar (in the case of a book) Look for a number like this:
https://www.amazon.com/{product}/dp/XXXXXXXXXX?ie=UTF8&fpl=fresh&redirect=true&ref_=s9_simh_gw_g421_i1_r
Name of Seller*
You can find this information by clicking on "Available from these sellers." on the product page and looking at "Seller Information".
Allegation of Infringed Rights*
Add a description of the alleged infringement to your work here. Be polite and detailed in the description. If the infringement includes a company name that you DO sell on. Say you are partnered there and that the infringer has used artwork from your legal store.
Add more ASIN numbers
Add up to three additional ASIN numbers to show other examples of the same infringement. It's best to make a new claim for each art piece infringed upon.
- Add More?
Additional ASIN Numbers
ASIN Number
ASIN Number
ASIN Number
Finalising!
Declaration*
- I have a good faith belief that the portion of the listing(s) described above violate(s) the intellectual property rights owned by the intellectual property owner or its agent, nor is such use otherwise permissible under law.
- I represent, under penalty of perjury, that the information in this notification is true and correct and that I am the intellectual property owner or authorised to act on behalf of the intellectual property owner for the rights described above.
Digital Signature*
Add your name to act as a digital signature to the DMCA form finalisation.
First Last
Today's Date*
Date Format: DD slash MM slash YYYY
Donation for service*
A small donation to contribute to the support of the website and running costs.
Price: 0,60 €
Email
This field is for validation purposes and should be left unchanged.

Disclaimer:

This form builder is in no way associated with the any official DMCA governmental office or website. These forms are binding legal documents when signed and acknowledging the declaration.

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Name*
First Last
Email*
Enter Email Confirm Email
Humans only!
Comments
This field is for validation purposes and should be left unchanged.

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Authorisation Letter - Amazon

Personal Details

Company Details

Add alternative details for infringer contact

Amazon Details

Additional ASIN Numbers

Finalising!

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