User Tools

 
Alleged Infringement Counter-Notification
 
If material that you have posted to MolMed has been taken down, you may file a counter-notification that contains the following details:
 
  1. Identification of the material that has been removed or to which access has been disabled and the location at which the material appeared before it was removed or disabled;
  2. A statement, under penalty of perjury, that you have a good faith belief that the material was removed or disabled as a result of mistake or misidentification of the material in question and the basis of that belief.
 
Notification Number:   ____________________
 
 
CONTACT INFORMATION:
 
Your Name:                __________________________________________
 
Your Title:                   __________________________________________
 
Company Name:         __________________________________________
 
Address:                      __________________________________________
 
City:                            __________________________________________
 
State:               ______
 
Country:          ______
 
eMail:              ______________________
 
Phone:             ______________________
 
Fax:                 _______________________
 
Are you the administrator on the Channel containing the objectionable material?  [  ] Yes or [  ] No
 
Did you post the objected to material?    [  ]  Yes or [  ] No
 
Do you represent the person who posted the objected to material?   [   ] Yes or [  ]  No
 
            If yes:   In what capacity do you represent such person:  ____________________
 
 
RESPONSE TO OBJECTION
 
Response to Objection:           _________________________________________________
(Please note that the more detailed an explanation of the nature of the objection the better we will be able to potentially address your concern).
 
I hereby affirm under penalty of perjury, that I have a good faith belief that the material was removed or disabled as a result of mistake or misidentification of the material in question.
[   ]   I agree                [    ]  I disagree
 
            Explain Basis of Belief:          _____________________________________________
 
 
VERIFICATION
 
I hereby swear under penalty of perjury, that the information in this notification is complete and accurate and I am authorized to submit this response.
 
            [   ]  I agree                 [   ]  I disagree
 
 
I hereby consent to the jurisdiction of the U.S. District Court for the Eastern District of New York, and I will accept service of process from the person who submitted a notice in compliance with section (c)(1)(C) of the DMCA.
 
SIGNATURE
 
Signed on this date of  ______/______/______
                                    Month   Day      Year
 
Signature:        _____________________________
 
Your digital signature is as legally binding as a physical signature
 
[   ]  Check here if you would like a copy of this notice as submitted e-mailed to you.  The e-mail will include a notification number which should be referred to in all future correspondence.