Copyright Office: Obtaining Permission

Online form for external parties seeking permission to use University of Melbourne owned material

Requestor's Name
Requestor's organisation/department
Email
Telephone
Address

Full citation of the material you want to use
Location of the material you want to use; if online, please insert url

How much do you want to use?		Full item
		Certain section
If a certain section, please specify

What format is the material?		Online
		Print
		Multimedia (i.e. CD-ROM, DVD)
		Other - please specify:


What kind of work is the material; journal article; song; photograph etc?
How many copies do you want to make of the material?
Please give a detailed description of where you would like to reproduce the material, i.e. on a learning management system; in a book; on a web site etc.
Please give a detailed description of what the material will be used for, i.e. in a course of study; for internal staff use; as an academic commercial publication etc.
Please indicate how long you will intend to use the material for, i.e. for one semester, indefinitely etc.
Please indicate if you wish to adapt, modify or change in any way the material you are requesting permission for.