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Report Infringement

Are you aware of improper use of Intellectual Property including International or Industry Standards, Technical Documents or Corporate IP? If you believe that a colleague, customer, partner or even a previous employer is making illegal copies, improperly distributing, or is otherwise infringing on copyrighted documentation, we want to know about it. Please call our toll free number or fill out the form below to report infringement. You do not need to be named to have us investigate potential infringement:

Report infringement online by filling out the form below
Call our U.S. hotline: 1-866-520-5783

Infringement Questionnaire: please answer these questions regarding the organization you are reporting

Have you or has anyone in this organization ever:

º Copied a licensed document to:
	• Provide to a co-worker?	YesNo
	• Provide to a supplier?	YesNo
	• Provide to a development partner?	YesNo
º Scanned a licensed document to:
	• Save on a hard drive?	YesNo
	• Include in company documentation?	YesNo
	• E-Mail to a co-worker?	YesNo
	• E-Mail to a supplier?	YesNo
	• E-Mail to a development partner?	YesNo
	• Store on a Corporate Internet?	YesNo
º E-mailed a downloaded copyrighted document to a:
	• Co-worker?	YesNo
	• Supplier?	YesNo
	• Development Partner?	YesNo
º Included excerpts or entire documents from a third party in your company documentation?		YesNo
º Included excerpts or entire documents in your sales collateral?		YesNo
º Included Standards Documents or excerpts in your CD-ROMS to distribute to the field?		YesNo
º Were these issues ever discussed with management?		YesNo
Please answer these questions regarding the organization you are reporting:

Red lettering denotes required fields

Where did you hear about IP Shield?
Company name
Address 1
Address 2
City
State
Country
Zip/Postal Code
Telephone
Are there other locations?		YesNo
Do you suspect misuse in other locations?		YesNo
Did you or any other employees ever mention the misuse or inappropriate copying/distributing of documents, or discuss it with management? If yes, to whom was the problem mentioned and what was the response?

Is senior management aware of the issue?

Company Website
Who handles the ordering of Standards and other IP?
Approx. how many employees use these documents?
What made you first suspect that IP was being improperly handled in this organization?

Please list specific examples of the IP that is being infringed upon- document name or content providers:

How current is the information you have provided on this form?
Personal Contact Information (Optional)
We guarantee that your name and contact information will never be used without your consent. We will begin to investigate all reports of possible infringement within 7 days of your report. Any contact information you provide will be used exclusively to inform you of our progress or to clarify information:
Your Name
Your Email Address
Your Phone Number
May we contact you?		YesNo

Thank you for taking the time to inform Intellectual Property Shield of a possible case of infringement. We are committed to the proper use of intellectual property in the workplace, and all of us at IP-Shield appreciate your input!