Letter Requesting Permission to Use Intellectual Property - Word & PDF Template Form

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Date: ________

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Dear ________,

Re: Request for Permission to Use Copyright Material / Intellectual Property

1. Introduction

1.1 My name is ________ and I am writing to formally request your permission, as the owner (or authorised licensor) of the intellectual property described below, to use that material for the purpose set out in this letter.

1.2 I understand that the material in question may be protected under the Copyright Act 1968 (Cth) and/or other applicable intellectual property legislation in force in Australia, including the Trade Marks Act 1995 (Cth) and the Designs Act 2003 (Cth), as may be relevant. I make this request in recognition of, and with respect for, your rights in that material.

2. Description of the Material

2.1 The work, material or intellectual property to which this request relates (the Material) is described as follows:

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2.2 To the best of my knowledge, the rights in the Material are owned or controlled by ________. If you are not the correct rights holder, or if a third party also holds rights in the Material, I would be grateful if you could advise me accordingly.

3. Proposed Use

3.1 I propose to use the Material for the following purpose:

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3.2 The intended manner and medium of reproduction or communication of the Material will be: ________.

3.3 The proposed use is to commence on or about ________ and is expected to continue for the following period: ________.

3.4 The Material will be used in the following territory or context: ________.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore.

4. Acknowledgement and Conditions

4.1 I confirm that I will use the Material only for the purpose described in this letter and will not exceed the scope of any permission you grant.

4.2 If it would assist you, I am willing to display an appropriate copyright notice, attribution, acknowledgement of authorship, or other intellectual property usage statement alongside any reproduction or communication of the Material, in such form as you may reasonably require.

4.3 I acknowledge that you retain all right, title and interest in and to the Material, and that any permission granted does not transfer ownership of any intellectual property rights to me.

4.4 If you wish to grant permission subject to a licence agreement, a licence fee, royalty, or other terms and conditions, I would be pleased to discuss and document those terms with you.

5. Response Requested

5.1 I would be grateful if you could confirm in writing whether you are willing to grant the permission requested, and, if so, on what terms and conditions (including any fee or attribution requirements).

5.2 Please direct your written response to me at the contact details set out at the head of this letter, ideally on or before ________.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum dolore eu fugiat nulla pariatur lorem ipsum dolor sit amet consectetur.

Yours sincerely,

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