Copyright Permissions Department



,

RE:  Request for Permission to Reproduce Image(s)

Dear :

I am writing to request permission to  described below the "Image(s)":

  • Artist:
  • Title: 
  • Date:
  • Medium:
  • Dimensions:
  • ID Number:
  • Artist: 
  • Title: 
  • Date:
  • Medium:
  • Dimensions:
  • ID Number:
  • Artist: 
  • Title: 
  • Date:
  • Medium:
  • Dimensions:
  • ID Number:
  • Artist: 
  • Title: 
  • Date:
  • Medium:
  • Dimensions:
  • ID Number:

I have already obtained a reproducible copy of the Image(s), and have enclosed a copy for your convenience.I would like to request a(n) of the Image(s) from which I can produce the Image(s) for the purposes described below.

The Image(s) will be used as follows: .

The Image(s) will not be used in a seminar or other educational activity. will be used in a seminar or other educational activity as follows: .


I hereby request nonexclusive worldwide rights, for this only. If you are not the copyright holder, or if permissions from other sources are needed to obtain worldwide rights, including rights in and to the reproducible copies or prints of the Image(s), please let me know and indicate the person or company to which such requests should be directed. I acknowledge that submission of this request does not constitute permission, and that any use of any copyrighted images owned by the copyright holder is unauthorized unless and until I have received a signed letter of permission or agreement. I further acknowledge that if any usage or administrative fees are assessed by the copyright holder, a signed letter of permission or agreement may be withheld until those fees are paid.






Best regards,


____________________________________________ 

FREE
ATTORNEY-DRAFTED

Request for Permission to Reproduce Images - Free Template

Seek approval to reproduce copyrighted images with a request for permission form. Provide essential details for the copyright owner to assess and approve your request.

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What's a request for permission to reproduce images?

Books and essays often include photos or other images that are copyrighted. With exceptions for academic or personal use, U.S. copyright law prohibits using these images without the owner's consent. A Request for Permission to Reproduce Images allows you to provide details on how the material will be used and to what extent. The copyright owner can assess and decide whether to approve or deny your request.

Here's the information you'll need to have handy to complete your request for permission to reproduce images:
- Details of the request : This includes format, rights, and context for the images' use.
- Who are the involved : Know who this document is going to, and have the copyright owner's contact information ready.
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