Determination of Rights in Copyrightable Materials Policy Negotiation Form
Faculty Member’s Name:
College/Department:
Title/Rank:
Date:
Title of Copyrightable Material:
Statement of Negotiated Terms for extraordinary resources for the creation of
copyrightable work:
Type of Negotiated Terms:
Statement of Negotiated Terms for copyrightable material commissioned by the
University:
Type of Negotiated Terms:
Statement of Negotiated Terms for creation of electronic course materials:
Type of Negotiated Terms:
Period of Negotiated Terms:
CERTIFICATION: This request is made pursuant to the Determination of Rights in
Copyrightable Materials Policy. I certify that I have read and understand the policy and will abide by it.
I understand that it is my responsibility to insure that I comply with the policy with regard to all
copyrightable materials and negotiations.
Faculty Member/Employee Signature Date
Dean/Supervisor Signature Date
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signature
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signature
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