[Type Library Reserves/Course Instructor Info]

[Date]

To: [Type Recipient’s Address]

Subject: REQUEST FOR PERMISSION TO USE COPYRIGHTED MATERIALS

To the Permissions Editor:

The copyrighted material cited on the enclosed list has been assigned as course reserve reading by a member of the faculty of Dartmouth College for the [XXXXX] academic term. The enclosed list also indicates the estimated enrollment for the course.

The Copyright Clearance Center was not able to grant permission for this material. [The Dartmouth College Library/I] request[s] permission to make [XXXXX photocopy/ies] of this material available for future semesters beginning immediately.

Course readings will be made available to students at no cost. A notice indicating ownership of copyright and restrictions on use will appear on each document.

Thank you for your prompt reply. Please respond to the following address:

[Type Library Reserves/Course Instructor return address]

Permission is hereby granted for specified use of the material:

Date: ________________

Name: _________________________________________________________________

Signature: ______________________________________________________________