Submit a Copyright Permission Request * = Required Requestor’s Name * Requestor’s Email or Phone Number * Please let us know if there is someone else (a TA or Secretary, etc.) who should be contacted if we have questions. Contact Name Contact Email or Phone Number This information is needed for estimating royalties. Purpose for the Request * Library Reserve (a single physical copy) Electronic Reserve (online pdf) Course Packet (to be purchased by students) Future Publication Other (contact Laurie with the details) Course Information Course Number e.g. 695R Section(s) Semester e.g. W 2015 How many students are expected to enroll? Item Information Author Name Fair Use generally only permits discrete portions of works to be distributed for educational use. If an entire book is needed, a copy should be purchased and placed on reserve &/or the students should purchase their own. Contact your liaison for information about library purchases. Article / Chapter Title * (in) Publication * Citation / Date of Publication / Enumeration * Examples: vol# Source (law journal), vol#:issue# or date (other journal), year (book) Pages Needed * Ex: 1-5, 32, etc. Publisher Optional, but can help with ILL requests, if necessary. This information is usually found on the verso of a book’s title page, or in the front matter of a journal. Standard Number (ISBN/ISSN) Other Helpful Information Have you ever previously received permission to use this item? * If yes, please forward a copy of the permission statement to copyright@law.byu.edu. Yes No Have you ever distributed this item as a Fair Use? * Yes No Can you provide the Library with a pristine copy of this material? * Yes No What email address should we use for the request receipt? * revised: 15 August 2018
