Continuation Sheet 

for Application Forms

● This Continuation Sheet is used in conjunction with Forms CA, PA, SE, SR, TX, and VA only. 

Indicate which basic form you are continuing in the space in the upper right-hand corner.

●

Try to fit the information called for into the spaces provided on the basic form.

●

If you do not have enough space on the basic form, use this Continuation Sheet, and submit 

it with the basic form.

● If you submit this Continuation Sheet, clip (do not tape or staple) it to the basic form and fold 

the two together before submitting them.

● Space A of this sheet is intended to identify the basic application.

Space B is a continuation of space 2 on the basic application. 

Space C (on the reverse side of this sheet) is for the continuation of spaces 1, 4, or 6 

on the basic application.

Privacy Act Notice: Sections 408-410 of title 17 of the United States Code authorize the Copyright Office to collect the 

personally identifying information requested on this form in order to process the application for copyright registration. 

By providing this information you are agreeing to routine uses of the information that include publication to give legal 

notice of your copyright claim as required by 17 U.S.C. § 705. It will appear in the Office’s online catalog. If you do not 

provide the information requested, registration may be refused or delayed, and you may not be entitled to certain relief, 

remedies, and benefits under the copyright law.

DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.

(Month) (Day) (Year)

CONTINUATION SHEET RECEIVED

EFFECTIVE DATE OF REGISTRATION

IDENTIFICATION OF CONTINUATION SHEET: This sheet is a continuation of the application for copyright registration 

on the basic form submitted for the following work:

● TITLE: Give the title as given under the heading “Title of this Work” in space 1 of the basic form.

Use the reverse side of this sheet if you need more space for continuation of spaces 1, 4, or 6 of the basic form.

NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼

DATES OF BIRTH AND DEATH

Year Born▼ Year Died▼

NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼

NAME OF AUTHOR ▼ DATES OF BIRTH AND DEATH

Year Born ▼ Year Died ▼

NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼

NAME OF AUTHOR ▼ DATES OF BIRTH AND DEATH

Year Born ▼ Year Died ▼

Identification

of

Application

A

Continuation

of Space 2

B

d

e

f

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

● NAME(S) AND ADDRESS(ES) OF COPYRIGHT CLAIMANT(S) : Give the name and address of at least one copyright claimant 

as given in space 4 of the basic form.

NAME OF AUTHOR ▼ 

WAS THIS AUTHOR’S CONTRIBUTION 

TO THE WORK

Anonymous? ❑ Yes ❑ No

Pseudonymous? ❑ Yes ❑ No

If the answer to either 

of these questions is 

“Yes,” see detailed 

instructions.

Was this contribution to the 

work a “work made for hire”?

AUTHOR’S NATIONALITY OR DOMICILE

Name of Country

❑ Yes

❑ No

Citizen of

Domiciled in OR{ ▼

▼

WAS THIS AUTHOR’S CONTRIBUTION 

TO THE WORK

Anonymous? ❑ Yes ❑ No

Pseudonymous? ❑ Yes ❑ No

If the answer to either 

of these questions is 

“Yes,” see detailed 

instructions.

Was this contribution to the 

work a “work made for hire”?

AUTHOR’S NATIONALITY OR DOMICILE

Name of Country

❑ Yes

❑ No

Citizen of

Domiciled in OR{ ▼

▼

PA PAU SR SRU TX TXU VA VAU

Page of pages

If the answer to either 

of these questions is 

“Yes,” see detailed 

instructions.

WAS THIS AUTHOR’S CONTRIBUTION 

TO THE WORK

Anonymous? ❑ Yes ❑ No

Pseudonymous? ❑ Yes ❑ No

Was this contribution to the 

work a “work made for hire”?

AUTHOR’S NATIONALITY OR DOMICILE

Name of Country

❑ Yes

❑ No

Citizen of

Domiciled in OR{ ▼

▼

3 Form ____ ⁄CON UNITED STATES COPYRIGHT OFFICE

REGISTRATION NUMBER
C

CONTINUATION OF (Check which): ❑ Space 1 ❑ Space 4 ❑ Space 6

Continuation

of Other

Spaces

Certificate 

will be

mailed in

window 

envelope 

to this 

address:

D

Form CON Rev: 05⁄2019 Printed on recycled paper U.S. Government Publishing Office: 2019-xxx-xxx⁄xx,xxx

Name t

Number/Street/Apt t

City/State/Zipt

YOU MUST:

• Complete all necessary spaces

• Sign your application

SEND ALL 3 ELEMENTS

IN THE SAME PACKAGE:

1. Application form 2. Nonrefundable fee in check 

or money order payable to 

U.S. Copyright Office 3. Deposit material

MAIL TO:

Library of Congress 

U.S. Copyright Office

101 Independence Avenue SE

Washington, DC 20559-6000