This is a request to quote form a periodical for use in another's book or article. There is an attached addendum for the copyright holder to sign granting permission. The request can be granted for only a fixed period of time if the copyright holder does not want to grant the request to be used indefinitely.
Iowa Requested Permission to Quote From a Periodical
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US-PRM-09
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How to fill out Iowa Requested Permission To Quote From A Periodical?
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FAQ
Unfortunately, quoting or excerpting someone else's work falls into one of the grayest areas of copyright law. There is no legal rule stipulating what quantity is OK to use without seeking permission from the owner or creator of the material.
If you're seeking permission to quote from a book, look on the copyright page for the rights holder; it's usually the author. However, assuming the book is currently in print and on sale, normally you contact the publisher for permission. You can also try contacting the author or the author's literary agent or estate.
The American Psychological Association allows authors to cite 400 words in single- text extracts, or 800 words in a series of text extracts, without permission (American Psychological Association, 2010).
Copyright is jointly held by interviewer and interviewee. If you have conducted the interview, you still need written permission from the interviewee, and that form must include permission to publish. Quotations from certain government documents and materials.
As a common practice, all quotes are copyright to the author, which means that legally you should get permission from the author you hope to borrow from. This can sometimes be very difficult if the author is deceased or a public figure.
You, as the author, are responsible for getting written permission to use any material in your manuscript that has been created by a third party.
Copyright of speech given during an interview relies heavily on the fixation element of copyright law. When a work is fixed in a copy or recording, the work is created. This gives the work its copyright. Therefore, when an interview is physically recorded it becomes copyrighted.
Unfortunately, quoting or excerpting someone else's work falls into one of the grayest areas of copyright law. There is no legal rule stipulating what quantity is OK to use without seeking permission from the owner or creator of the material.
Epigraphs from materials that are in the public domain do not require permission. Epigraphs from copyrighted materials must either qualify as fair use or be used with the permission of the rightsholder. An epigraph must be sufficiently tied to the text that follows in order to qualify as fair use.
Every publisher sets their own threshold of fair use versus requiring permissions. One publisher requires permission for using 25 words or more from any one source, aggregate over the entirety of your book. This means if you quote 16 words in one place and 10 words in another, you must get written permission.
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