Bmi Clearance Form PDF Details

The process of music clearance is a crucial step for creators and publishers aiming to ensure their works are appropriately registered and protected. Broadcast Music, Inc. (BMI), located at 10 Music Square East, Nashville, TN, provides a BMI Clearance Form as a necessary tool in this process. This form, detailed and structured, is designed to be completed with specific information about a musical work before its submission to BMI's Clearance Department. It outlines the requirements for a single work per form, including the title, any alternative titles (also known as AKA), and detailed information regarding its origin, especially if based on a public domain work. Important details such as the writer(s) and publisher(s) names, addresses, social security numbers, and affiliations with performing rights organizations are to be provided, alongside the shared percentages of rights. Specifically, the form delineates the division of rights between writers and publishers and further instructions for works of foreign origin, spoken word material with musical background, and recorded works. The emphasis on ensuring rights are not assigned without consent, the division of shares, and the importance of the authorized signature reinforce the form's role in safeguarding the interests of creators and publishers alike. In acknowledging the form's instructions and clearance terms, authors and their representatives are reminded of the importance of accuracy and compliance in the submission process, ultimately facilitating the proper registration and protection of musical works.

QuestionAnswer
Form NameBmi Clearance Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesbmi song registration, bmi registration, bmi works registration, bmi registration form

Form Preview Example

Clearance Form

Broadcast Music, Inc., 10 Music Square East, Nashville, TN 37203

Att. Clearance Department 615-401-2000

COMPLETE FORM IN ACCORDANCE WITH INSTRUCTIONS ON THE REVERSE SIDE AND RETURN TO BMI. DO NOT USE THIS FORM TO CORRECT OR REVISE INFORMATION ON A PREVIOUSLY CLEARED WORK. SEND CORRECTIONS IN A LETTER TO THE CLEARANCE DEPARTMENT.

Title – ONE WORK PER FORM

Song Title

AKA Also Known As

IF BASED ON PUBLIC DOMAIN – GIVE ORIGINAL TITLE, WRITER AND SOURCE

CHECK IF WORK IS FROM:

TV FILM

MOTION PICTURE

BROADWAY SHOW

OFF-BROADWAY SHOW

INFOMERCIAL

ENTER TITLE OF PICTURE, TV FILM OR SHOW

(SEE REVERSE SIDE)

WRITER(S) NAME(S)

 

 

 

WRITER(S) ADDRESS

 

AFFILIATION

Writer

FOR BMI USE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST

FIRST

MIDDLE

 

 

 

(e.g. BMI, ASCAP, Percentage

DO NOT WRITE BELOW

 

 

 

 

 

SESAC, PRS)

Share

 

 

Last Name

First Name Middle

Street Address

 

 

 

 

Credit

Mult.

 

 

BMI

%

Rate

Rate

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

xxx

xx

xxxx

 

 

 

 

 

 

 

City

St

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK HERE IF NO RIGHTS GRANTED BY WRITER(S) TO ANY PUBLISHER.

 

 

AFFILIATION

Publisher

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK HERE IF PUBLISHER IS ADMINISTRATOR ONLY. DO NOT CHECK THIS BOX IF

 

(e.g. BMI, ASCAP, Percentage

 

 

 

 

PUBLISHER OWNS PART OR ALL OF COPYRIGHT AND/OR PERFORMING RIGHTS.

 

 

SESAC, PRS)

Share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PUBLISHER(S) NAME(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME(S) OF U.S. ORIGINAL PUBLISHER(S):

 

 

 

 

 

 

 

 

IF WORK IS OF FOREIGN ORIGIN, COMPLETE BELOW:

U.S. SUB-PUBLISHER(S): (PLEASE GIVE TERRITORIES)

FULL NAME OF FOREIGN ORIGINAL PUBLISHER:

PLEASE DO NOT SUBMIT NON-MUSICAL WORKS. THEY CANNOT

BE CLEARED BY BMI. FOR SPOKEN WORD MATERIAL WITH A

MUSICAL BACKGROUND, SEE INSTRUCTIONS ON REVERSE SIDE.

TYPE OR PRINT NAME AND ADDRESS OF SUBMITTING BMI AFFILIATE

MAIL

CONFIRM-

ATION

TO:

RECORD LABEL & NO. OF 1ST RECORD RELEASE

ARTIST

RELEASE DATE

DATE SUBMITTED TO BMI

AUTHORIZED SIGNATURE

CLEARED IN ACCORDANCE WITH TERMS ON REVERSE SIDE

INSTRUCTIONS

Enter applicable information on reverse side and RETURN TO BMI CLEARANCE DEPARTMENT. DO NOT enter information in the shaded area.

TITLE

Enter complete title of work you are submitting for clearance. If also known under another title, please indicate

 

aka (also known as) and enter other title. (ONLY ONE WORK PER FORM)

 

If this work is based on a Public Domain work, enter ORIGINAL TITLE, WRITER AND SOURCE. A LEAD

 

SHEET OR RECORDING MUST BE SUBMITTED WITH THIS CLEARANCE FORM IF THIS WORK IS

 

BASED ON A PUBLIC DOMAIN WORK.

 

If this work was written for a Full Length Feature Motion Picture or a Film made for TV, or a Broadway or Off-

 

Broadway Show of Infomercial, check appropriate box and give complete title of Motion Picture, TV Film,

 

Show or Infomercial.

WRITER(S)

Enter complete name and address of each writer. If pseudonym, enter complete name of writer under his

 

pseudonym. Last Name first followed by First Name and Middle Name or Initial. Enter Social Security No.

 

of each writer.

 

Enter the affiliation (PERFORMING RIGHTS ORGANIZATION) for each writer.

PERCENTAGE Enter share of each writer. Writers’ shares should total at least 100%.

SHARES

WRITER(S)

PUBLISHER(S) Enter complete name of all publishers and co-publishers.

If publisher acquired this work from a publisher outside the United States, enter complete name of the original foreign publisher and the territories for which sub-publishing rights were acquired.

Enter the affiliation (PERFORMING RIGHTS ORGANIZATION) for each publisher.

PERCENTAGE Enter share of each publisher. Publishers’ shares should not exceed 100%.

SHARES

PUBLISHER(S) IF NO RIGHTS HAVE BEEN ASSIGNED TO ANY PUBLISHER, CHECK THE BOX PROVIDED. IN SUCH

CASE FULL PUBLISHER SHARE WILL BE DIVIDED BETWEEN WRITERS IN THE SAME PERCENTAGE AS WRITER SHARES.

If part of publisher share has been granted, indicate percentage due to publisher and percentage retained by writer(s).

SPOKEN

Spoken word material with a musical background will be cleared only if the music is original (not based on a

WORD

Public Domain work) and if a substantial part of the recording contains background music. A recording must

MATERIAL

be submitted with this Clearance Form if this is spoken word material.

RECORD

If this work has been recorded, enter the record label and number, artist and date or future date of release.

DATE

Enter the date you are submitting this work to BMI.

SIGNATURE

This form must be signed by an affiliated writer or an authorized representative of the submitting

 

publisher.

IF ALL OF THE ABOVE INSTRUCTIONS ARE NOT FOLLOWED THIS WORK WILL NOT BE REGISTERED FOR LOGGING PURPOSES AND THE FORM WILL BE RETURNED TO YOU FOR CORRECTION OR COMPLETION.

CLEARANCE TERMS

THE RETURN OF A CLEARANCE CONFIRMATION STATEMENT INDICATES THAT THE WORK LISTED ON THE REVERSE SIDE HAS BEEN CLEARED.

A writer submitting this form warrants and represents that (s)he is the writer or co-writer of the work to the extent indicated and that (s)he has not acquired his or her interest in such work by virtue of purchase or assignment from the writer or writers thereof.

Please note that in the event that a work cleared is published or recorded with lyrics which we, in our sole judgement, regard as unsuitable for broadcast use or with musical or lyrical material which we, in our sole judgement, regard as an infringement, we reserve the right at any time to exclude this work in its entirety from the provisions of our agreement and to withdraw the clearance.

We bring to your attention that in the event a clearance form submitted does not properly indicate in the space provided therefor that a work is based on public domain source, we reserve the right, if at any time such work is found to have a public domain source, to allocate to such a work a percentage of the normal logging credit or, in the case of a work having little or no original material, to give no logging credit to such work.

Michael Tortora

Clearance Dept.

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This PDF doc will require some specific information; to ensure accuracy, don't hesitate to take heed of the following steps:

1. You have to fill out the bmi clearance accurately, so be mindful when filling out the parts that contain these specific fields:

clearance form bmi writing process shown (stage 1)

2. The subsequent stage is usually to complete these fields: SOC SEC NO, CHECK HERE IF NO RIGHTS GRANTED BY, CHECK HERE IF PUBLISHER IS, AFFILIATION, eg BMI ASCAP, Publisher Percentage, SESAC PRS, Share, NAMES OF US ORIGINAL PUBLISHERS, PUBLISHERS NAMES, IF WORK IS OF FOREIGN ORIGIN, US SUBPUBLISHERS PLEASE GIVE, and FULL NAME OF FOREIGN ORIGINAL.

Stage number 2 for filling out clearance form bmi

3. The following section is all about FULL NAME OF FOREIGN ORIGINAL, PLEASE DO NOT SUBMIT NONMUSICAL, TYPE OR PRINT NAME AND ADDRESS OF, MAIL CONFIRM ATION TO, RECORD LABEL NO OF ST RECORD, ARTIST, RELEASE DATE, DATE SUBMITTED TO BMI, AUTHORIZED SIGNATURE, and CLEARED IN ACCORDANCE WITH TERMS - type in each one of these blanks.

FULL NAME OF FOREIGN ORIGINAL, ARTIST, and CLEARED IN ACCORDANCE WITH TERMS inside clearance form bmi

When it comes to FULL NAME OF FOREIGN ORIGINAL and ARTIST, make certain you don't make any mistakes in this current part. These two are the most important fields in this document.

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