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Report Piracy

This form is to report a case of software piracy by hardware or software resellers. SIIA investigators may need to contact you for additional information and will require contact information about you. The asterisks (*) mark fields that must be completed. This form cannot be submitted without all the required information. If you would prefer to report a case over the phone, please call our Anti-Piracy Hotline at (800) 388-7478 or send an e-mail to piracy@siia.net.

All sources are kept strictly confidential. Your name will not be released.

About the Reseller:

Name of Reseller *:
Name of Sales Representative:
Address of Reseller:
City:
State:
ZIP/Postal Code:
Country:
Telephone:
Email Address:
URL:

Did you purchase:
   Hardware with software pre-loaded
   Software only

If you purchased hardware with software together, did the reseller include the software:
   Without informing you about the pre-loaded software
   With your knowledge

What software products did you (or your company) purchase from the vendor?

Software Product(s) # Copies Purchased

Please list any additonal software products:

Other than what was purchased, what other software products did the reseller offer to sell you?






Please list any additonal software products:

How did you become aware of the piracy you are reporting?
   Witnessed first hand. Please describe:
        
   Heard about from another person, who:
        
   Other:
        

What makes you think the pirate software products offered or purchased were not legal?

Did you contact the reseller in an attempt to discuss the pirated software?
   Yes
   No

      If yes, what was the vendor's response?
      

Did the reseller charge you (or your company) for all the software it provided?
   Yes
   No

Did the reseller provide licenses to you (or your company) commensurate with the number of software products purchased by your company?
   Yes
   No

Did the reseller provide an invoice?
   Yes
   No

      If yes, was all of the software provided by the reseller listed on the invoice?
       Yes
       No

Did the reseller provide you (or your company) with manuals and other documentation for the software?
   Yes
   No

About You:

First Name*:
Last Name*:
Telephone Number*:
Email Address*:
Please Note: Your email address OR your telephone number is required, not both.

If necessary, would you sign an affidavit?
   Yes
   No

Have you reported this piracy to anyone else?
   Yes
   No

    If yes, to whom did you report it?
    

How did you become aware of SIIA/SPA and know to report piracy on this web site?
Word of Mouth
Industry Referral
Conference/Trade Show
SIIA Poster
Newspaper/Magazine Article
Radio/Television Advertisement
Internet Advertisement
Internet Search Engine
Atrium Technologies
Dell | ASAP Software
Softchoice
     Other, please specify:
     

Were you purchasing the software for yourself or on behalf of the company you work for?
   For Personal Use
   For my Company

If you were purchasing the software for the your employer(s), please provide the following information:

Company Name:
Address:
City:
State:
ZIP/Postal Code:
Country:
Telephone Number:
Corporate Web Site:

Thank you for your assistance. By clicking on the submit button below you agree that the report you are submitting is accurate and truthful and does not violate any contract, agreement, or legal obligation or duty between you and the company you are reporting or any third party. An SIIA representative may contact you for additional information. All source information is kept strictly confidential.