Please feel free to copy and send your own version of the message. The whole thing is below:
Sent to: firstname.lastname@example.org
I am the copyright owner of the photograph being infringed at:
A copy of the photograph being infringed is included to assist with its removal from the infringing websites.
This letter is official notification under the provisions of Section 512(c) of the Digital Millennium Copyright Act (“DMCA”) to effect removal of the above-reported infringements. I request that you immediately issue a cancellation message as specified in RFC 1036 for the specified postings and prevent the infringer, who is identified by its web address, from posting the infringing photographs to your servers in the future. Please be advised that law requires you, as a service provider, to “expeditiously remove or disable access to” the infringing photographs upon receiving this notice. Noncompliance may result in a loss of immunity for liability under the DMCA.
I have a good faith belief that use of the material in the manner complained of here s not authorized by me, the copyright holder, or the law. The information provided here is accurate to the best of my knowledge. I swear under penalty of perjury that I am the copyright holder and the subject of the photograph, which was taken of me on July 21, 2007 while performing at the King County Fair in Enumclaw, WA.
Please send me at the address noted below a prompt response indicating the actions you have taken to resolve this matter.
/s/ FULL NAME