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: 09/24/2017
*Course Name:
*Course Number:
*Course Writer:
*Email Address:
When is this item first needed?
ISBN/ISSN Number:
Author/Editor/Translator:
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 10% of the original work?
Is the requested material out of print?
Please provide any additional information that you feel will be helpful:




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