Request for Reimbursement or Payment of Publication Costs by o489H3

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									              Request for Reimbursement or Payment of Publication Costs

Policy: Article 24.8 of the OEA Agreement provides for University payment of “…reasonable page costs for a
bargaining unit member’s scholarly research in a professional journal or periodical, and the cost of one hundred
(100) reprints of such published material, providing the publication carries the University’s identification.” In
addition, the University will pay for submission fees for “…those peer reviewed professional journals or periodicals
where a submission fee is required….” The Article also specifies that the “…University will provide one hundred
reprints from the Central Services Department” for “…monographs that do not exceed 100 Pages….” Article 24.8
specifies that: “Approval shall be secured in writing by the individual from the dean of Graduate Studies before
placing an order for the reprints or making a financial commitment to page costs.”

Procedure: This form is to be filled out completely (as applicable) and submitted to the Dean of Graduate Studies
and Research through the Office of Grants and Sponsored Programs, which processes requests for payment of
publication charges. Should prior approval for reimbursement not be sought, the charges will not
be honored and the faculty member’s commitment to the accepting journal or periodical will be
considered to be a personal commitment. Approval must be obtained prior to submission of the
manuscript for journal review.


The following information must be submitted (Please type all information within the text box
or lined space as appropriate. Reduce type font as needed to fit in space):

Publication to which the article will be submitted:


Title of article:


Authors and Author’s Addresses [Identify the Corresponding Author with an Asterisk (*)]:

         1.




         2.




         3.




         4.




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     Address of Publisher:


PART A: Submission Fees

     Amount of Submission Fee (If required.):                 $

PART B: Page Charges

     Cost per page (If required):                             $

     Estimate number of pages in final galley proofs:

     Additional charges (Figures, Diagrams, etc.):            $

     Total estimated cost of publication (Cost/pg. x Total pages + Additional Charges):

                                                              $
PART C: Reprint Costs or Monograph Printing Expense

     Cost of 100 Reprints or printing (If required):          $

Estimated YSU Expense

     Estimated contribution to publication expense by coauthors from other institutions
     (Written evidence of this commitment should be provided and show a zero (0) for no
     contribution):
                                                              $


     Total Estimated YSU Expense
     (A + B + C – External Contributions = Total):            $

     If this is a request for printing of a published monograph (Part C), please attach written
     permission from the copyright owner, permitting YSU to reproduce 100 copies of the
     document. If the document is published, this permission will be obtained from the publisher.

     By this request I am certifying that the publication to which this manuscript is being submitted
     will identify Youngstown State University as the source of the manuscript.

     Requested by: __________________________________             Date: _____________________


     Approved: _____________________________________              Date: _____________________



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