Copyright Request Form

This form is only to be used by curriculum writers.   For questions about copyright issues in a classroom environment, consult the Copyright Quick Guide for a brief introduction.   If this document does not answer your question, contact OCLS and request the assistance of a librarian.

Date of request:
Course Name:
Course Number:
Course Writer:
Email address:
Publisher/Rights Holder:
Book/Journal Title:
Chapter/Article Title:
Author of Article:
Total Number of Pages:
From:  To:
Copyright Year:
Publication Year: (if different)
Volume:   Edition:
Is the requested material more than 25% of the original work? Yes     No
Is the requested material out of print? Yes     No
Please provide any additional information you feel will be helpful?

Thanks for allowing OCLS to serve you!

If you don't receive a response within 2 business days please call us at (800) 521-1848.

    Address: Off Campus Library Services - Jackson Library, Indiana Wesleyan University, 4201 South Washington, Marion, IN, U.S.A. 46953