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.
Virgin Islands Requested Permission to Quote From a Periodical
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Multi-State
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US-PRM-09
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How to fill out Requested Permission To Quote From A Periodical?
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FAQ
Requesting permission The easiest way to obtain permission to reproduce a figure is using RightsLink. The majority of publishers use this service. If the publisher of the figure you wish to reproduce does not use RightsLink, you can request permissions directly from the publisher.
When you use a figure in your paper that has been adapted or copied directly from another source, you need to reference the original source. This reference appears as a caption underneath the figure that you copied or adapted for your paper.
You have to take the necessary permission letter from the journal in which your research paper is published from which you want to use the figure. You have to submit a copy of that permission letter at the time of submission of your review paper to its journal.
Requesting permission The easiest way to obtain permission to reproduce a figure is using RightsLink. The majority of publishers use this service. If the publisher of the figure you wish to reproduce does not use RightsLink, you can request permissions directly from the publisher.
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.
RightsLink links are available on each article page by clicking on the title of the relevant article or chapter and following the Get rights and content link. If the relevant Elsevier book is not available on ScienceDirect, you can submit your request via our online form.
Generally, adapted figures require the permission of the copyright owner of the original figure. You do not require permission if the figure you have created is so different from the original that it is no longer recognisable. This is judged on a qualitative not a quantitative basis.
One way to make sure your intended use of a copyrighted work is lawful is to obtain permission or a license from the copyright owner. Contact a copyright owner or author as far as pos- sible in advance of when you want to use the material specified in your permissions request.
In general, the permissions process involves a simple five-step procedure:Determine if permission is needed.Identify the owner.Identify the rights needed.Contact the owner and negotiate whether payment is required.Get your permission agreement in writing.
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.