Off-Campus Library Services
Central Michigan University



Form to Request Copyright Permission - Clips from TV Programs

Please provide as much information as possible to expedite your request.


Instructor:

Course #:

Title of television program:

Studio/TV company:

Title of episode and/or number:

Length of clip:

Length of episode:

Time sequence of clip within episode:

Description of clip's scene:

Intended use of clip in the project:

If you would like a copy of this form enter your e-mail address: