Permission Letter for Research Copies - Model

The following letter is a model, not a form letter. You must carefully examine your specific needs and modify the letter accordingly. It is also important to document your steps in the permission process. Keep good files!

[Date]

[Letterhead or Return address]

[Rights holder name and address]

Dear [Sir or Madam] [Permissions Editor] [Personal name, if known]:

I am currently an employee of [Place of employment] and I am conducting research on [General nature of your research]. I would like your permission to photocopy the following material in order to distribute this information to my colleagues:

[Citation with source information]

These photocopies will be used in the following manner:

[Include the number of copies to be made. Discuss the nature of the audience to which you are distributing the copies. Are they only people within your research "group" or are there other people who will be receiving this information? Are all the recipients employees of YOUR employer?]

If you do not control the copyright on all of the above mentioned material, I would appreciate any contact information you can give me regarding the proper rights holder(s), including current address(es). Otherwise, your permission confirms that you hold the right to grant the permission requested here.

I would greatly appreciate your consent to my request. If you require any additional information, please do not hesitate to contact me. I can be reached at:

[Your contact information]

A duplicate copy of this request has been provided for your records. If you agree with the terms as described above, please sign the release form below and send one copy with the self-addressed return envelope I have provided.

Sincerely,

[Signature]

[Typed name]

Permission granted for the use of the material as described above:

Agreed to: __________________________ Name & Title: _______________________
Company/Affiliation: __________________ Date: ______________________________