[You may use this letter as a template to send a request for copyright clearance. Permission must be
obtained in writing; note that permission via e-mail is sufficient. Store permission confirmation letters
in your files indefinitely. For more information about copyright, send your question to
um_copyright@umanitoba.ca.]
SUBJECT LINE: Copyright permission request for ARTICLE/GRAPH/IMAGE/OTHER
Attention: Permissions Manager
I am requesting permission to include in my graduate THESIS/DISSERTATION/PRACTICUM the following:
AUTHORS OR CREATORS OF THE ARTICLE/CHAPTER/EXCERPT/IMAGE (YEAR OF THE WORK).
TITLE OF THE ARTICLE/CHAPTER/EXCERPT/IMAGE. JOURNAL OR BOOK OR WEB SITE THE WORK
APPEARS IN. ISBN/ISSN. PUBLISHER. JOURNAL VOLUME, ISSUE, PAGE NUMBERS. URL OF THE
WORK.
My thesis, entitled TITLE OF THESIS/DISSERTATION/PRACTICUM, is part of the requirements needed to
graduate from the Faculty of Graduate Studies at the University of Manitoba.
My thesis will be posted electronically and will be accessible for free to a worldwide audience from the
University of Manitoba’s digital repository called MSpace located at
http://mspace.lib.umanitoba.ca/index.jsp. I do not expect any commercial profits from my thesis.
Describe other ways the work will be used (for profit, in a book to be published, presented at a
conference, added to a conference poster, etc.).
Please reply to confirm if you are the copyright owner of the work and if permission is granted to include
it in my THESIS/DISSERTATION/PRACTICUM. A citation and permission statement will appear with the
work.
If you do not control the copyright on the above-mentioned work, I would appreciate any contact
information you can provide regarding the proper rights holder.
Thank you for your consideration. If you require further information, please don’t hesitate to contact
me.
NAME, DEGREE
DEPARTMENT, FACULTY
CONTACT INFORMATION