Intellectual Property Non-Infringement Declaration Form
Please complete the Intellectual Property Non-Infringement Declaration Form to confirm that your submitted work, product, or material does not infringe third-party intellectual property rights.
Full Name of Declarant
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First Name
Last Name
Email Address
*
example@example.com
Organization or Affiliation (if applicable)
Title or Description of Submitted Work, Product, or Material
*
Type of Submission
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Please Select
Written Work
Design
Artwork
Product
Software
Other
Please describe the original source or inspiration for your submission.
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Does your submission include any third-party materials?
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No, all materials are original
Yes, with permission or proper licensing
Yes, but materials are in the public domain
If third-party materials are included, please provide details and specify the rights or permissions obtained.
Have there been any prior disputes or claims regarding the intellectual property rights of this submission?
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No
Yes (please provide details below)
Declaration: I hereby declare that, to the best of my knowledge, the submitted work, product, or material described above does not infringe upon any third-party intellectual property rights.
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Submit Declaration
Submit Declaration
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