Modified from Crews, Kenneth D. 2000. Copyright Law & Graduate Research: New Media, New Rights, and Your New Dissertation
In addition to the above steps, make sure the individual providing the permission is properly identified in the in email message to you.
[Return address or letterhead]
[Name & address of copyright holder]
I am completing a [doctoral dissertation or thesis] at Stanford University entitled [Title]. I would like your permission to reprint in my dissertation excerpts from
[Citation or description of original work]
The excerpts to be reproduced are: [describe excerpts or attach a copy]
My dissertation will be produced electronically and made available through the Stanford University Library and its publication partners. I am requesting permission to include the excerpts in current and future revisions and editions of my dissertation, and to grant others the right to reproduce my entire dissertation, including the excerpts described
above, for educational, non-commercial purposes. These rights will in no way limit republication of the material(s) in any other form by you or others authorized by you.
Your signing will verify that you own [or your company owns] the copyright to the above material(s).
If this meets with your approval, please sign this letter below and return it to me in the enclosed return envelope. Thank you very much for your attention to this matter.
[Your name and signature]
For an individual, include:
PERMISSION GRANTED FOR THE USE REQUESTED ABOVE:
[Type name of addressee below signature line]
For a company, include:
PERMISSION GRANTED FOR THE USE REQUESTED ABOVE: [Type name of company]