Fillable Archives Application for Permission (City of Victoria)

Fill Online, Printable, Fillable, Blank Archives Application for Permission (City of Victoria) Form

Use Fill to complete blank online CITY OF VICTORIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Archives Application for Permission (City of Victoria)

On average this form takes 8 minutes to complete

The Archives Application for Permission (City of Victoria) form is 2 pages long and contains:

  • 0 signatures
  • 13 check-boxes
  • 24 other fields

Country of origin: CANADA
File type: PDF

Use our library of forms to quickly fill and sign your City of Victoria forms online.

BROWSE CITY OF VICTORIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Please read and sign page 2 of this document Page 1 of 2
I / we apply for permission to reproduce and use the following images or documents from the City of
Victoria Archives for purposes other than personal study or enjoyment as described below:
Name
Organization
Address
City Province Postal Code
Phone/Fax E-mail
Please list the numbers of the image(s) or document(s) you wish to use (use "M" number only):
Project title / description
Intended use (please complete and check all appropriate boxes)
Use category User category Distribution area
□ Books / e-Books
□ Magazines / Journals / Newspapers
□ Exhibitions / Displays
□ Internet
□ Brochures / Flyers / Newsletters / Posters
□ Slide Shows / Presentations
□ Television / Movies
□ Merchandise
□ Other
□ Commercial
□ Non-commercial
□ Local (Victoria, Vancouver
Island)
□ Canada and the World
Print/item run Archives use only
Number of items to be
printed/produced:
_____________________
Publisher:
_____________________
Date received:
Approved Y / N
Fee applicable Y / N
Licence number:
Archives Application for Permission
City of Victoria Archives ▪ 1 Centennial Square, Victoria, BC V8W 1P6
T: 250-361-0375 ▪
F: 250-361-0367 ▪ archives@victoria.ca ▪ www.victoria.ca/archives
ARCHIVES USE BYLAW 16-0
60, SCHEDULE A Page 2 of 2
____
____
____________________________________________________________________________
Terms and Conditions of Use
____________________________________________________________________________________
By signing this form, you agree to the following terms and conditions:
1. The City of Victoria grants the user the non-exclusive right to use the material indicated in the
Application for Permission.
2. Use of the material is limited to what is outlined in the Application for Permission.
3.
Use of the material requires identifying each item as sourced from the City of Victoria Archives.
4. The user assumes all responsibility for use of the material under Canadian and International
copyright laws, and does not acquire any interest in the ownership of the copyright or other
prop
rietary rights in the material.
5. Users acquiring rights to use City of Victoria Archive material on behalf of others are responsible
for informing the publisher, producer, or contractor of the extent and limitations of the rights
acquired.
6. Permission is granted for a single use only.
7. Some sizing of the material is permitted but content manipulation generally is not.
8. Reproduction of the material is limited to what is necessary for your final project.
Signature of applicant Date
Signature of CVA staff Date
Please return
to the City of Victoria Archives by:
Email: archives@victoria.ca ▪ Fax: 250-361-0367
▪ Mail: 1 Centennial Square, Victoria, BC V8W 1P6
Archives Licensing Agreement
City of Victoria Archives ▪ 1 Centennial Square, Victoria, BC V8W 1P6
T: 250-361-0375 ▪ F: 250-361-0367 ▪ archives@victoria.ca ▪ www.victoria.ca/archives
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Archives Application for Permission (City of Victoria)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 5 April 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document