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Application for a refund
for professional use

Looking at or create a refund request for professional use

To look at a current request, please indicate your file number and the password emailed by COPIE FRANCE

The refund is made by bank check

Identification

All fields with a * must be filled

Connection information

To allow you to consult later your requests, a customer zone is going to be created.
Thank you for choosing an identifier and a password who will allow you to access to this zone.
Please specify also the email address which must be used to reset your password if you lose it.

Email linked to account *

Select the legal form

Natural person Legal entity Public institution

Important notice

If documents (invoices) are affected to a company, please create a legal entity with the company's name and do not create a natural person.

Activity *

Name / Initials / Trade name

Company name *

Legal form *

NAF code

Type of registration number *

Registration number *

Web site

Adress

Adress *

supplementary adress information

Zip code *

City / Cedex *

Country *

Legal person in charge

Select the contact *

Civility * Sir Madam

Last name *

First name *

phone number

Email *

Quality

Have you a professional ID card? Yes No

Professional ID card number

Date of issue

Person to contact

Same person as the legal person in charge ? Yes No

Select the contact *

Civility * Sir Madam

Last name *

First name *

phone number

Email *

Quality

Attachment(s)

The size of attachments is limited to 2 Mb
Extensions autorisées : .png, .gif', .jpg, .jpeg, .doc, .docx, .xls, .xlsx, .pdf, .txt, .bmp, .csv

Please download a copy of at least one of the three type of document indicated below

Professional ID card in effect *

ID card *

INSEE Form *

Downloadable by clicking has href ='http: http: // to www.insee.fr / fr / service / default.asp? Page=entreprises/sirene/avis_situation. htm ' target = ' _ blank ' > ici/a >

your articles of corporation

Kbis application quote dated on less than 3 month

D1 répertoire des métiers quote dated on less than 3 month

Available by clicking has href ='http: http: // www.artisanat.fr / tabid / 200 / Default.aspx ' target = ' _ blank ' > ici/a >

Detail of the request

All fields with a * must be filled

DESCRIBE BRIEFLY THE WAY PRODUCTS ARE GOING TO BE USED (IE : ARCHIVING, SOFWARE PUBLISHING,…etc.) *

Please specify the conditions of use of the products the application for refund of the private copying remuneration is made for (answer every question by YES or NO):

a) Are you the end user of the carrier/device (you don't sell nor distribute them) ? * Yes No

b) Are those carriers/devices used for professional purposes by you or the employees in the premices of the company ? * Yes No

If YEs, are they :

Used in a collective way * Yes No

Given to the staff individually * Yes No

If you use cell phones or tablets, are they also given to the staff individually ? * Yes No

c) If you distribute those carriers/devices to third parties ( ie. USB keys given to prospects or clients, ...etc.):

Are those carriers/devices blank ? * Yes No

Are those carriers/devices preloaded with content ? * Yes No

If YES, is the carrier/device locked in a way no copy is made possible ? * Yes No

How do you distribute those carriers/devices to third parties ?

Sale ? * Yes No

Free distribution ? * Yes No

If YES, free distribution only during trade shows ? * Yes No

During consumer shows ? * Yes No

Delivery of professional command(s) to a client ? * Yes No

Specify hereunder the invoices related to your application for refund and for each of them the relevant carriers/devices

The size of attachments is limited to 2 Mb
Extensions autorisées : .png, .gif', .jpg, .jpeg, .doc, .docx, .xls, .xlsx, .pdf, .txt, .bmp, .csv

COPIE FRANCE can process your request as long as you enclose invoices (not quotes or purchase orders) that clearly mention the amount of private copying remuneration for the refund of which you ask.

	Name of the supplier*	Date of invoice*	Invoice number*	Invoice / Attachment*	Add product	Nb of products

List of carriers/devices for the invoice :

Amont of the refund requested (in euros)

You wish to specify a point concerning your request

Summary of the request

Summary of the request :

Request made on : 04/06/2023

I hereby certify on the honor that carriers/devices for which the refund request is made persuant to the intellectual property code :

are used in conditions that do not allow to presume a use for of private copy :
- and will be used notably for professionnal purposes, for the own use of the company and for the following professional activity :

Display file number

The information collected from this form is subject to data-processing treatment by COPIE FRANCE so that it can treat requests relating to the exercise of the rights within the framework of the protection of personal data. This information is kept for a period of 60 months.
I agree that the information entered may be used by Copie France to process and respond to my request.
Your information is processed and intended for Copie France, based on your consent and in order to manage your request. It is kept for the time of its treatment and then for 3 years from your request. You have a right of access, rectification, deletion, limitation, withdrawal of consent and opposition, which you can exercise via this form.

All fields with a * must be filled

Type of carrier/device *

Quantity*

Capacity *

Other *

(if bundle) Nb of memory cards/ USB keys

(if bundle) Capacity of the memory cards/ USB keys

Login to your account

Application for a refundfor professional use

Looking at or create a refund request for professional use

Identification

Important notice

Detail of the request

Summary of the request

Display file number

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Application for a refund
for professional use