Copyright Infringement Evaluation Form – Burns the Attorney: Leslie Burns

Please fill out this form as much as possible so that Leslie can review your matter to see if she can help and whether she can do so on a contingency fee. She will get back to you as soon as possible, but it may be a couple of business days, depending on her schedule. NOTE: Filling out the form does NOT make you a client–you and Leslie must have a signed agreement before she represents you in this, or any, matter.

PLEASE NOTE: The form will capture your IP address–sadly, I get threats and an IP address can be used to identify the sender.

First Name

Last Name

Your email address; please make sure to be accurate as my system looks you up that way

Street Address

If you are a new potential client, please provide your street address here and the city, etc., as prompted in the next few questions

City

State/Province

Zip/Postal Code

Country, if not USA

List the URL(s) for the infringement(s)

If you know the URL where the work is stored on the infringer’s server, please include that too

Is/Are the copyrights registered with the USCO?

Don’t say “yes” unless you have received your certificate

If registered, what’s the Certificate Number

should be something like VA2-222-222

What is the Effective Date for the Certificate

When did you first offer the work for sale or license to others, including to an original commissioning client

URLs where you or your licensees publish the work

Please be specific so I can see the work in its legitimate use context

Do you/your licensees always have your CMI on/adjacent to the work?

CMI is a watermark or credit line

Is your CMI missing in the infringement?

License Fee?

What you normally would have charged any client for a license for the same usage; don’t make up a number you wish you could get

Do you have proof, like invoices, that you have received that fee previously for a similar licensed use

Any other info you want to share about this? For example, have you already sent invoices or contacted other attorneys or services to try to get paid for this infringement; or did the infringer contact you sometime before the infringement, etc.