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When preparing printed CUSTOM COURSEWARE - combination of original (instructor's) material and excerpts of copyright material from print or digital sources. !] Source eg. book name & edition; journal name/vol/issue/ date; server/domain name (not URL)8Publisher eg. company name or owner of website (not URL) Code & No.:  Printed CompilationADigital Copies via Other (eg. email, google docs, dropbox, etc.) 5Complete this form and email to the Copyright Office:%Book (all books, including textbooks)Author Access CRPrinted - Other FormatCrown PublicationInternet Exception UAL e-LicenceOriginal Pages!Total Pages Copied (original x n)Copyright Review Request Form'Last Revision: September 22, 2016 v.5rDQuestions? Contact the Copyright Help Desk at copyright@ualberta.ca1st Author of Selection2nd Author of SelectionEditor/Author of Source Workexample line: 0920079636' %,for Printed Distribution of Course Materials(&"for Digital Distribution of Copies(&G Before uploading copies (usually a PDF) where the PDF is made from: !G"f (a) a print source, AND the copying is outside the ϲ's Fair Dealing Guidelines !f"c (c) the open web AND there is a clearly visible notice prohibiting copying for educational use. ! 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Percentagea If you are above 15% (or chapter = 20%; text = 5%) you are exceeding the limits of this license.  !^ Comments2------------------ To be completed by UA Librariesu e  !8 ------ UA Libraries Tbe>UAibIIJ| Enter a Numerical Value;Enter a Numerical Value - the total number of sets you madetshiIbNo Input Allowed Total generated by Excel formulahel I{ Refer to the LEGEND above> Select the format type of the original material to be copied.This is a Required FieldEnter a Numerical Value You must enter a numerical value;Enter a Numerical Value - the total number of sets you madeRThis is a Required FieldYou must enter a valuestnt This is a Required FieldEnter a numerical value You must enter a numerical value?Enter a numerical value - the total number of pages you copied.IrThis is a Required Field6You must enter the ACTUAL PAGE NUMBERS you are copyinger n`Total Pages Copied*------------------------- Auto calculation a cAuto calculateEnter a numerical value ?Enter a numerical value - the total number of pages you copied.- ot Auto calculateEnter a numerical value?Enter a numerical value - the total number of pages you copied.- otWTotal Pages Copied!---------------- Auto calculation vuehAuto calculateNo Input Allowed! Total generated by Excel formula nwCopyright Office Comments:---------------------- To be filled in by Copyright OfficesouUThis is a Required FieldYou must answer Yes or Noild }Complete TitleK i.e. "The Boat People: The Toronto Voyage" in Best Canadian Essays, 1990 Last Name of EditorH----------------------- eg. Fetherling Enter the Editor's Last Name. | First Name of EditorD----------------------- eg. Douglas Enter the Editor's first name.{ First Name of Author 2A----------------------- eg. Erna Enter the Author's first name.z Last Name of Author 2A----------------------- eg. Paris Enter the Author's last name.UThis is a Required FieldEnter Author's first name teTThis is a Required FieldEnter Author's last name tUThis is a Required FieldEnter Editor's first name tl For Copyright Office Use0------------------- To be filled in by CLO Staffstam ISBN/ISSN-------------------------- i.e. 0920079636 This number is often found on inside cover of publication (with copyright info). May be available online with title search. Enter ISBN for version copied.   Selection / Excerpt Copied----------------- Identify the excerpt you copied from the larger Source work. This may be a chapter title; page or paragraph heading; title of article; PDF name, etc. DO include full URL to selection.   Identify publisher--------- ie. Publishing company's name; government department; institution; website, blog or wiki owner; producer; content provider, etc. For WWW resources, include name only and not full URL. sec q Year of Publication:--------- Enter the year the edition copied was published.nstu  Enter first page # of selection------------- - Multiple excerpts? Enter each range of pages on a separate row. - Roman numerals? Convert symbols to digits and enter on new row. na o Enter last page # of selection------------- - Multiple excerpts? Enter each range of pages on a separate row. - Roman numerals? Convert symbols to digits and enter on new row. n  Number of SetsZ------------ Estimate the # of sets needed (one for each student enrolled in the course). . Ro Identify the Source----------- Enter the complete title of source work copied. For literary works, include edition, volume, date, issue, etc. For WWW resources, identify the hosting server or site's domain name. Do not enter full URL. / ur% I{ First Name of Author 1A----------------------- eg. Erna Enter the Author's first name.wos,z Last Name of Author 1A----------------------- eg. Paris Enter the Author's last name.wsx Author 2L---------------- Identify the Author(s) of the work/section you are copying.x Author 1L---------------- Identify the Author(s) of the work/section you are copying.\ Editor2---------- Identify the Editor of the publication.ctn # Total Pages in Publication-------------------------------- i.e. 322 pages Enter the total number of pages in the entire publication. For journal articles, a page count for the Issue or Volume is not required. Select JA from "Source Work Type" column. /  Pu%> No Input Allowed % Refer to the LEGEND aboveNo Input AllowedL-------------- Select the format type of the original material to be copied. p% I Sheet1ggJgghGhBCIII@ T8 T  dMbP?_*+%&ffffff?'ffffff?(?)?"333333?333333?&<3U>@ggD Oh+'0HPd  Paul, CindySheppard, AdrianMicrosoft Excel@@~@~՜.+,0HP X`hp x  Sheet1Sheet2Sheet1!Print_AreaSheet1!Print_Titles  Worksheets Named Ranges  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FWorkbooknUSummaryInformation(DocumentSummaryInformation8