The text below the line should be copied to UA Fort Smith stationery, with the information on the article completed, and sent to the copyright holder with a stamped Business Reply envelope from State Supply, addressed to the instructor. When returned, the completed form must be placed on file at the Library when making an electronic reserves request for the relevant material.

Boreham Library Electronic Reserve System
Permission for Academic Use of Copyrighted Material

Dear Copyright Holder:

The copyrighted material cited here has been assigned by a University of Arkansas - Fort Smith faculty member as reserve reading for one or more courses during the current academic year. The instructor is requesting permission to place the cited material in the Reserve Room in print format and/or in the Electronic Reserve System in digital image format.

Access to these materials is restricted to the UA Fort Smith students and faculty by currently registered students and faculty by password. A copyright compliance statement and full source citation will be attached to digital document files.

We respectfully request that you review this permission form, complete the permission information, and return it in the self-addressed stamped envelope at your earliest convenience. Also, please accept thanks for your assistance in serving the UA Fort Smith educational community.

Sincerely yours,

This material is to be provided for currently registered students and faculty of University of Arkansas - Fort Smith only.

• Author:__________________________________________________
• Article title:________________________________________________
• Journal:___________________________________________________
• Dated:_____________________________________________________
• Volume and Issue:________________Pages:________________________
• Class:________________________________________________________
• Instructor:______________________________________________________
  (Multiple instructors may be entered)
• First semester used:_______________ Year: __________________
  Permission continues _________ or ends on date _________________.
  (Copyrighted material will not be accessible beyond the first semester without written permission from the copyright holder being filed with the Library.)

  Permission from copyright holder named
  __________________________________________________
  is hereby granted to the Boreham Library at UA Fort Smith under the stated conditions.

  Authorized by:
  ____________________________________________________________

  Title of authorizing agent:
  ____________________________________________________

  Dated: _________________________________ 20 ______

  Copyright Restrictions

  The copyright law of the United States (Title 17, United States Code), governs the making of photocopies or other reproductions of copyrighted material.
  Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research".
  This principle is called "Fair Use" and allows students and researchers to make one copy for their personal use in study or writing papers. Copies may not be made or given to other persons, and may not be sold. Materials obtained by interlibrary loan may be used by only one person.
  Anyone else requiring the same material must make a separate request for that material.
  If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement.
  This institution reserves the right to refuse to accept a copying order or material submitted for the Online Reserve System if, in its judgement, fulfillment of the order would involve violation of copyright law.