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. &nbps; If this document does not answer your question, contact OCLS and request the assistance of a librarian.

Date of request: 10/30/2014
Course Name:
Course Number:
Course Writer:
Email address:
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 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?





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