Off-Campus Library Services
Central Michigan University



Form to Request Copyright Permission - Clips from Videos/Films

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


Instructor:

Course #:

Title of video/film:

Studio/TV company:

Length of clip:

Length of film:

Time sequence of clip within film:

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: