Copyright Licensing & Assignment In-Take Form | The Law Office of Brian J. Bair, LLC

Contact Information

Tell us a bit about you or the main person of contact.

Name of Contact

Prefix

First Name

Middle Name

Last Name

Suffix

Phone Number

Email

How did you hear about us?

Your Role in the Transaction

Tell us which side of the transaction you are on.

Role

Creator / rights holder granting rights

Party acquiring rights

Hiring a contractor or commissioning work

Not sure

Type of Agreement Needed

Select all that apply. If you are not sure which agreement fits, we can discuss it at a consultation. All agreement drafting and review is quoted at a flat fee.

Assignment (transfer of ownership)

Exclusive license

Non-exclusive license

Work-for-hire / independent-contractor agreement

Review of an existing agreement

Recordation with the U.S. Copyright Office

Not sure — discuss at consultation

The Work(s) Involved

Describe the work or works the agreement will cover.

Type of Work

Title(s) or description of the work(s)

Approximate number of works involved

Has the work already been created?

Already created

To be created

Both

Is the work registered with the U.S. Copyright Office?

Yes

No

Not sure

Other Party

Optional. Who is on the other side of the transaction?

Name of the other party (individual or company)

Relationship to you (e.g., contractor, client, publisher)

The Arrangement

Describe the arrangement as you understand it — scope, territory, duration, and compensation, to the extent known.

Arrangement details

Existing Agreement

If an agreement already exists — signed or in draft — you may upload it here.

Is there an existing agreement?

Yes — signed

Yes — in draft

No

Timeline

Optional. Tell us about any deadlines that apply.

Deadlines or timing considerations

Disclaimer

I hereby certify that the information in this application and the statements made herein are true and correct to the best of my knowledge.