Duplicate work order (Postal)

When you have completed the form, please use the ‘Submit’ button at the foot of the page to confirm your details.

Form F-05 V2.4

Fields in bold and marked with an asterisk ‘*’ are required and must be entered.

Your details

(Mr./Mrs. etc.)

Details of the work

Special instructions

Duplication & Media

Notes:

  • The standard charge covers administration, normal duplication and delivery via digital download (duplicate works up to 5GB in size).
  • Digital downloads are digitally signed and include a PDF Registration certificate/Schedule of Revision and a letter of declaration. An email link will be supplied once the order has been processed and the work will be available to download for 28 days.
  • Optical disc and USB stick media are accompanied with a hard copy Registration certificate/Schedule of Revision stamped with the company seal and a letter of declaration. This also includes a digital download link if total size <5GB.
  • Delivery charges for optical/USB media are FREE for the UK, Isle of Man and Channel islands, £2.50 for Europe and £3.50 for the rest of the World.
  • Duplicate works larger than 5GB total size are only supplied on physical media (DVD/BD/USB) and not available to download.
  • For larger works, or if unusual circumstances require additional charges, you will be contacted for confirmation before processing, and invoiced separately for any extra charges.
Duplication fee
£30.00

Address to send to (if different from address in “your details” above)

This address is only applicable if a physical media (optical/USB) is chosen.

Declaration

I hereby request a duplicate of the work detailed in this form. I certify that I am (or am acting on behalf of) the copyrights owner(s) of the work detailed in this form, and indemnify Copyright Witness Ltd against any liability for infringed copyright(or other rights) of any third party should this prove not to be the case.
 
Applicants under 18 should also obtain signature from a parent or guardian:

Payment details

Paying by cheque of postal order

Please make cheques/postal orders/international money orders for UK Pounds Sterling (GBP), and made payable to ‘Copyright Witness Ltd’.

Paying by credit/debit card

(tick one)

Visa Credit Mastercard Visa Debit 

UK Maestro American Express 

(name exactly as it appears on the card)

 

 

(if shown)

 

 

 

 

(if it appears on your card, otherwise leave blank)

 

 

(3 or 4 digit code, normally found on signature strip)

 

 

(leave blank if not applicable)

 

Postal address including postal/ZIP code

 

 

 

We recommend that an email address or telephone number is given, in case of any problem regarding payment.

Please send completed form and payment of £30.00 per work to:

UK Copyright Service - Registration Services

4 Tavistock Avenue

Didcot

Oxfordshire

OX11 8NA

United Kingdom

The prices quoted on this form are valid until the end of May 2024. After this time please visit our web site at www.copyrightservice.co.uk to obtain a valid application form.