EXPLANATION AND GUIDE Form: Purpose: Permission Request to Use Copyrighted Material (Form 16.8) This is a sample letter requesting the right to use copyrighted material from a copyright holder.
Form 16.8
DOCSSF1:199475.1
[Date] ________________________ ________________________ ________________________ Re: Permission to Use Copyrighted Material
Dear [Name of Copyright Owner]: We are contacting you because you are the author of [copyrighted work] and we would like to [reprint] [use] the [article, work, etc.]. We are in the business of __________________________. We plan to limit our use of your material to _________________. We will not use it in any other way. We respectfully request your support as the copyright holder to allow us the right to use the [article, work, etc.] free of charge in the manner described herein. If this is acceptable, you can simply sign and return to us a copy of this letter. Thank you for your consideration and your time. Sincerely,
[Name] By: ____________________________ Title: ___________________________
Permission is Hereby Granted Pursuant To the Terms and Conditions of this Letter
[Copyright Owner] By: ____________________________ Title: _________________________