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description=This form is used to report violations of intellectual property rights, including counterfeiting Report IP Theft and piracy, to the National IPR Coordination Center.;

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Text of the page (random words):
report ip theft iprcenter an official website of the united states government here s how you know official websites use gov a gov website belongs to an official government organization in the united states secure gov websites use https a lock or https means you ve safely connected to the gov website share sensitive information only on official secure websites home what we do partnerships ip protect newsroom about contact us report menu home what we do partnerships ip protect newsroom about contact us report submit search search national intellectual property rights coordination center search search submit search home report form report ip theft report ip theft this form is used to report violations of intellectual property rights including counterfeiting report ip theft and piracy to the national ipr coordination center the national intellectual property rights coordination center ipr center is the u s government s clearinghouse for investigations into counterfeiting and piracy crimes that threaten the public s health and safety the u s economy and our war fighters the ipr center encourages members of the general public industry trade associations law enforcement and government agencies to report potential violations of intellectual property rights through this website completion of this referral form is voluntary in order to assist you in completing this form we have developed a lead referral document that explains the process in more detail additionally the ipr center accepts online complaints from actual victims as well as from third parties to the victims while providing your contact information is voluntary the ipr center can best process a complaint if it receives accurate information in the form and has the ability to contact the complainant to clarify information that was provided when necessary information about the individual business that violated intellectual property rights business name business name for the business that violated intellectual property full name full name of individual or business that violated intellectual property location any location information address state country of individual or business that violated intellectual property text html text x web textile phone number phone number of individual or business that violated intellectual property email address email address of individual or business that violated intellectual property other identifiers about the individual business that violated intellectual property rights web site ip address social media site social media user account type of commodity does your complaint involve a government contract yes no what type of commodity was involved select applicable commodities automotive parts accessories cds piracy music cigarettes cyber financial fraud dvds piracy movie dvds piracy tv electronics computer accessories electronics computer hardware electronics computer software food substances hygiene cosmetics pharmaceuticals trade secrets theft wearing apparel accessories handbags wearing apparel accessories jerseys wearing apparel accessories jewelry wearing apparel accessories shoes other other miscellaneious specify description of the incident description of the incident describe in your own words how you have been victimized or how intellectual property rights were violated be specific include date s of transaction s a description of any items that were not delivered or were counterfeited any transaction numbers and any other pertinent information that helps to explain the violation also if you received anything by u s mail or any other delivery service specifically describe the envelope by the date time city and zip code shown on the stamp cancellation postmark text html text x web textile organizations have you already reported this crime to any law enforcement or government agencies if yes please indicate the organizations individuals that you contacted select all that apply automotive parts accessories cds piracy music cigarettes cyber financial fraud digital piracy dvds piracy movie dvds piracy tv electronics computer accessories electronics computer hardware electronics computer software food substances hygiene cosmetics pharmaceuticals trade secrets theft wearing apparel accessories handbags wearing apparel accessories jerseys wearing apparel accessories jewelry wearing apparel accessories shoes other specify other do you have pertinent documents correspondence in paper or electronic form original documents should be retained for use by law enforcement agencies yes no contact information your report will remain anonymous unless you choose to identify yourself however please note that failure to do so may limit or otherwise compromise the ipr center and its partners efforts to conduct an investigation based on your information if you agree to be contacted with follow up questions if necessary please enter your contact information full name full name of individual to contact business name business name of individual to contact phone number phone number of individual to contact email address email address of individual to contact warning regarding knowingly providing false information the information i ve provided on this form is correct to the best of my knowledge i understand that knowingly and willfully providing false information could subject me to fine imprisonment or both title 18 u s c 1001 i understand privacy act statement ipr center reporting allegations of counterfeiting and intellectual piracy form authority 5 u s c 301 5 u s c 552a 6 u s c 203 8 u s c 1103 19 u s c 1589a 44 u s c 3101 authorize u s immigration and customs enforcement ice to collect your information requested in this web form purpose s the information being requested is collected and controlled by the ice led national intellectual property rights coordination center ipr center for the purpose of evaluating and further developing information in support of law enforcement investigations the ipr center may also use your information to contact you for additional and or clarifying information about your report routine use s your information and the information you provide regarding suspicious or suspected criminal activity and or violation of law may be shared internally within the department of homeland security dhs for any appropriate law enforcement action the information you provide may also be shared with other federal state local tribal territorial or foreign agencies in order to refer reports of suspicious activity tips potential violations of law and other relevant information to those agencies with appropriate jurisdiction authorities and or need to know concerning the matter s you report the information you provide may also be disclosed as generally permitted under 5 u s c 552a b of the privacy act of 1974 as amended and pursuant to the routine uses published in the dhs system of records notice dhs ice 009 external investigations disclosure use of this form and the disclosure of your contact information when submitting this form are voluntary should you wish to submit an anonymous report verbally you may call the ipr center hotline at 1 866 ipr 2060 or 1 866 477 2060 public reporting burden u s immigration and customs enforcement is collecting this information as a part of its agency mission under the department of homeland security the estimated average time to review the instructions search existing data sources gather and maintain the data needed and completing and reviewing this collection of information is 30 minutes 5 hours per response an agency may not conduct or sponsor and a person is not required to respond to an information collection unless it displays a currently valid omb control number send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to u s immigration and customs enforcement forms management office 801 i street nw washington d c 20536 5800 do not mail your completed form to this address captcha home what we do partnerships ip protect newsroom about contact us report privacy policy accessibility the white house usa gov no fear act