Copyright Permission Request Form

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.

Any fields marked with an asterisk (*) are required

Requestor Information

Name:  *
Name of Organization:  *
Address: *
City:  *
Province / State:  *  (Where applicable)
Postal Code:  *
Country:  *  
Please fill in at least one of the following so that we can contact you if required: *
Phone #:   ( ) -
Fax #:   ( ) -
E-mail Address:  
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

Is this material from a: * Publication     Website
If a Publication, please specify:
    Title:  *  
    Date of Publication:   Month Day Year  
    Source Ministry:    
    Total Number of Pages in Publication:    
    ISBN #:    
    ISSN #:    
    Page #'s to be reproduced: *  
If a Website, please specify:
    Source URL:  *  

Intended Use

Number of copies to be reproduced: *  
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.