Copyright Permission Request – B.C. Government Forms

Fields marked with an * are required

To receive permission to reproduce all or part of a provincial publication or Web site, please complete the following form. To help us process your request in the most timely manner possible, please be sure that the information you provide is both accurate and complete.

For further information about copyright, refer to the page Intellectual Property Program.

Name*

First Last

Title

Name of Organization*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

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Email*

Enter Email Confirm Email

Phone*

Fax

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Have you previously received permission to reproduce the requested material?*

Yes
No

If Yes, please specify the file # included in the permission letter:*

Source Material Information

Material is from:*

Publication
Website

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publication section

Title:*

Author:

Date of Publication

Source Ministry:

Total Number of Pages in Publication

ISBN #:

Page #'s to be reproduced:*

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If a Website, please specify:

Source URL:*

Number of copies to be reproduced:*

Intended Use

Nature of intended use: (Check all that apply)*

Commercial (i.e. Are you profiting from distribution of the material?)
Non Commercial (i.e. Will you be giving the material away free of charge?)
Educational (i.e. Are you a university; college; pre-school, elementary, secondary school; or non-profit organization created by law?)

Please provide all relevant details, including the purpose served by the proposed work, and contact information for other persons or parties involved in the production or distribution of the proposed work:*

Please Note: the majority of copyright requests will be subject to a processing fee.

Phone

This field is for validation purposes and should be left unchanged.