JACO Digital

DMCA Agent Registration and Designation Request

By providing the requested information, we will be able to submit your DMCA registration to the United States Copyright office on your behalf. This form allows you to pay the filing fee and, if you wish, designate JACO Digital or InternetLitigators as your DMCA agent for receipt of take down notices. You do not need a lawyer to file this form. We provide this service for client convenience and to make it easy to designate us as your agent if you wish. Please note that you may not designate us as your agent without submitting this form and paying the agent fee. Warning: Failure to properly respond to a DMCA notice could subject you to liability or limit your ability to take advantage of the DMCA safe harbor provisions.
Costs:
Registration – $19.99 (Including Filing Fee)
DMCA Agent Fee – $35.00/mo

Test Selecting and understanding the role of your DMCA Agent are both crucial to your successful assertion of the DMCA Safe Harbor provisions 17 U.S.C § 512 of the DMCA. We will help ensure full compliance and we can even serve as your DMCA Agent.

You should use this form to choose your options:
(1) Provide your information to us to register your own DMCA Agent with the United States Copyright Office on your behalf. ($19.99)
-or-
(2) Designate InternetLitigators as your DMCA Agent to handle your takedown notices for you and provide your information to us to contact you in the event we receive a takedown notice on your behalf. ($19.99 plus $35.00/mo) or ($19.99 plus $399.00/yr).
Company Name
Company Address (Public)
Street Address Address Line 2 City State ZIP Code
Name*
First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Online Service Provider Information
This is the primary name of your business used as an Online Service Provider. You may identify additional names that this entity operates under for listing in addition to the primary name if you like as well.
Document Preparation Fee (Includes One Basic Filing Fee)*
Price:
Full Legal Name of Service Provider*

Typically Your Company Name.
Optional Additional Names
If you operate under names other than the name listed above you may include additional names here.
Additional Domains Quantity*
Price: $2.50
List Your Additional Names Here (One Per Line)*
Please enter each name on a new line.
Agent Information
If you designate InternetLitigators as your agent we will monitor your DMCA notices and advise you of the need to comply. Our name and address will be available to the public on your behalf and should be identified in your terms of service or DMCA Policy. If you chose yourself or another person you will be solely responsible for compliance. See our Terms of Service for more details.
Choose Your Agent*
- I designate JACODigital as my DMCA Agent
- I wish to designate my own DMCA Agent
Monthly / Annual*
- Monthly
- Annual
First Month Fee (recurring monthly fee – cancel any time)*
Price:
You may not list JACODigital as your agent with the copyright office or on your website without an active DMCA Agent subscription. Doing so will result in your non-receipt of any notice we may receive and potential liability for failure to comply with the DMCA.
Annual DMCA Agent Fee (recurring annual fee – Cancel any Time)*
Price:
You may not list JACODigital as your agent with the copyright office or on your website without an active DMCA Agent subscription. Doing so will result in your non-receipt of any notice we may receive and potential liability for failure to comply with the DMCA.
Name of Agent Designated to Receive Notification of Claimed Infringement:*
Full Address of Designated Agent to which Notification Should be Sent*
Street Address Address Line 2 City State ZIP Code

(a P.O. Box or similar designation is not acceptable except where it is the only address that can be used in the geographic location)
Telephone Number of Designated Agent:*
Facsimile Number of Designated Agent:*
Email Address of Designated Agent*
Source Code

If you have an InternetLitigators source code please enter it here.
Total
$0.00
Authorization
Appointment and Authority*
- I hereby appoint JACO Digital as my representative for the purpose of designating my DMCA Agent to receive notification of claimed infringement. If this form is submitted on behalf of an entity, I hereby further certify that I am fully authorized to make this appointment without any further action on the part of the entity. I understand that to the extent I have selected recurring charges that these charges may be cancelled at any time as set forth in the Terms of Service. I have read and agree to the JACO Digital Terms of Service and Privacy Policy.
Credit Card*
Card Details
Cardholder Name
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

DMCA Agent Registration and Designation Request

Online Service Provider Information

Optional Additional Names

Agent Information

Authorization