Copyright Infringement Evaluation Contact InformationName First Last Email PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Infringement Information1. When did you take your photo(s) that have been infringed?: 2. When did you first post your photo(s) that have been infringed online (if applicable) or publish it/them, including providing them to your original client or make available for distribution or licensing (if applicable)?3. Where have you posted your photo(s) or otherwise authorized them to be used? Please be specific, including by providing exact urls/links).4. From where do you think that the infringer got your photo(s) (provide the exact url/links or information):5. Provide the exact url/links or information where/how the infringer used your photo(s) (also provide copies of the infringement, such as screenshots):A. Please insert your links here Click on the + to add more links (up to 8 in total)B. Upload screen shots Drop files here or Accepted file types: jpg, gif, png. 6. Did the infringer remove your copyright notice/watermark/name/contact info from your photo(s)?YesNo7. When did the infringement start (to the best of your knowledge)? 8. How did you discover the infringement?9. When did you discover the infringement? 10. Has the infringement stopped? If so, when (to the best of your knowledge)?11. Is the copyright to your photo(s) registered with the U.S. Copyright Office?YesNoa. If so, what is the Registration number? (Also provide a scanned copy of your Registration.)b. If so, what is the effective date of your Registration? 12. What is your normal license fee charged for this use (i.e., what would you have charged if the infringer had asked for a license in advance)?13. What is the infringer's name and contact info (mailing address, email address, phone number)? (Check a website like whois.com or who.godaddy.com for website contact info.)14. What do you want to happen? (Ex: get cash damages; get photo removed.)15. Have you contacted the infringer to try to resolve the matter?YesNoWhat was the result?Why not?Additional InformationHow did you find out about Hughley Smith Law?If we are not the first attorneys you have consulted in this matter, who else did you consult?Why are you no longer working with the attorneys you consulted previously?Other Comments and Information:Additional Materials to ProvideWith this form, also provide copies of: the infringement (screenshots, etc.). any written correspondence, including emails, that you've had with anyone about the matter. scanned copy of your applicable Copyright Registration Certificate, if you have one. Send documents to info [at] hughleysmithlaw [dot] com.Read Me I have read and acknowledge *Statute of Limitations: The statute of limitations for copyright infringement is 3 years. Please bear this in mind regarding potential claims. Before You Contact the Infringer: Gather the necessary evidence needed to pursue this claim. That includes screenshots (showing the infringer's website (all pages where the image or work is used), the URL of the site, and the picture on the website. Also, perform a WhoIs search to get contact information and also check the website for relevant contact info. Save a copy of the webpage as well. If it is a photograph or image that has been infringed upon, check the Wayback Machine for how long the image has been used, and also check the metadata to ensure that it has not be removed or changed. If so, screenshot that evidence as well. Submitting this form does not make you a client of Hughley Smith Law. Upon submission, Hughley Smith Law will review the claim and either confirm or deny representation on the matter. You may have a duty to preserve all evidence relevant to your claim as it may be the subject of pending litigation. This duty of preservation extends to, but is not limited to, data files, e‑mails, calendars, telephone logs, access lists, and logs that are located on your computer networks, e-mail servers, mainframes, individual computer workstations, and external drives, or are located on any of those devices within your control but not owned by you, such as your web host.