Work Registration Form PDF Details

The Work Registration form, provided by Broadcast Music, Inc. (BMI), serves as a crucial tool for musicians, composers, and publishers aiming to register their works for monitoring and licensing purposes. Located at BMI's Music Works Registration Department in Nashville, TN, this document is meticulously designed to ensure the proper crediting and distribution of royalties. It encompasses a variety of fields, including but not limited to, the title of the work, information about the writer(s) and publisher(s), details of any affiliation with performing rights organizations, and specifics regarding any recordings of the work. It is imperative to fill out this form with accuracy, as it includes explicit instructions such as the prohibition against registering non-musical works and stipulations for works of foreign origin. Additionally, the process accommodates spoken word materials, provided they meet certain criteria outlined on the form. It's important to note the form’s emphasis on originality, especially concerning public domain works, and its provisions for works intended for various media productions. Submitting this form correctly is essential for it to be processed; otherwise, it will be returned for correction, underscoring the importance of adherence to its directives. The completion and submission of this form represent a critical step in securing rights and ensuring that creators and publishers are appropriately compensated for their work.

QuestionAnswer
Form NameWork Registration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswork registration online, registration works, online work registration, work register format

Form Preview Example

MAIL CONFIRMATION TO:
WORK-REG-E 5/2003
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 AS THEY CANNOT BE REGISTERED 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

Work Registration Form

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

Attn. Music Works Registration Dept. 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 REGISTERED WORK. PLEASE SUBMIT WRITTEN REQUESTS FOR UPDATES ON PREVIOUSLY REGISTERED WORKS TO THE BMI MUSIC WORKS REGISTRATION DEPARTMENT.

Title - ONE WORK PER FORM

AKA

IF BASED ON PUBLIC DOMAIN - ENTER ORIGINAL TITLE, WRITER AND SOURCE

CHECK IF WORK IS FROM

ENTER TITLE OF MOTION PICTURE, TV, FILM OR SHOW

q TV FILM

(SEE REVERSE SIDE)

q MOTION PICTURE

 

q BROADWAY SHOW

 

q OFF-BROADWAY SHOW

 

q INFOMERCIAL

 

 

 

WRITER(S) NAME(S)

 

 

AFFILIATION (e.g.

Writer

FOR BMI USE

 

WRITER(S) ADDRESS

BMI, ASCAP,

Percentage

 

 

 

 

DO NOT WRITE BELOW

LAST

FIRST

MIDDLE

SESAC, PRS)

Share

 

 

 

 

 

 

 

Credit

Multi.

Rate

Rate

SOC. SEC. NO.

 

SOC. SEC. NO.

 

SOC. SEC. NO.

 

SOC. SEC. NO.

 

SOC. SEC. NO.

 

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

AFFILIATION (e.g.

Publisher

 

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

BMI, ASCAP,

Percentage

 

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

SESAC, PRS)

Share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECORDING LABEL & NO. OF 1ST RELEASE

ARTIST

RELEASE DATE

DATE SUBMITTED TO BMI

AUTHORIZED SIGNATURE

REGISTERED IN ACCORDANCE WITH TERMS ON REVERSE SIDE

INSTRUCTIONS

Enter applicable information on the reverse side and RETURN TO BMI MUSIC WORKS REGISTRATION DEPARTMENT. DO NOT enter information in the shaded areas.

TITLE

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

 

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

 

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

 

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

 

Broadway Show or Infomercial, check appropriate box and enter 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 has acquired 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 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 registered only if the music is original (not based

WORD

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

MATERIAL

must be submitted with this Registration Form if this is spoken word material.

RECORD

If this work has been recorded, enter the recording 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.

REGISTRATION TERMS

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

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 registered work is publisher 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 anytime to exclude this work in its entirety from the provisions of our agreement and to withdraw the registration.

We bring to your attention that in the event a registration 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 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.