Sample Letter Requesting Permission
The request should be sent, together with a self-addressed return envelope, to the permissions department of the publisher in question.
Permissions Department
[Publisher]
[Address]
Dear Permissions Editor:
I am writing to ask your permission to (circle all that apply)
- multimedia courseware
- online course materials
- a dissertation/thesis
- a print publication
the following material:
Author: Book Title: Journal Title: Vol. Issue Page #(s) Figure/
Image #(s)Table #(s)
The material will be distributed/published as follows:
Distribution:
Publisher:
Expected distribution/publication date:
Expected length of work (number of images, etc.):
Target market:
If you do not solely control copyright in the requested materials, I would appreciate any information you can provide about others to whom I should write, including most recent addresses if available.
[Optional: Enclosed please find a draft License Agreement for your convenience in responding to this request.]
| Sincerely, |
|
| Author Signature | Company Signature |
| ___________________ Author's name |
_______________________ Name of authorized signatory |
| ___________________ ___________________ ___________________ Address |
_______________________ Title _______________________ Company |
| ___________________ Date |
_______________________ Date |
Copyright Crash Course | Copying Copyrighted Materials | Permission | Fair Use of Copyrighted Materials | Identifying and Securing Intellectual Property Rights for Multimedia Works | Intellectual Property Section Homepage
University of Texas System Office of
General Counsel