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UPA Permission and Release Form

  UPA Permission Form in Acrobat format

PLEASE RETURN THIS FORM TO:
Usability Professionals’ Association, 140 N. Bloomingdale Road, Bloomingdale, IL 60108-1017


Title of work: _____________________________________________________

Description of material (the “Material”):



________________________________________________________________

Title of UPA publication: ___________________________________________

I hereby transfer, assign, or otherwise convey to the UPA all copyright ownership rights in the manuscript, and all rights subsumed thereunder under the copyright laws of the United States and all foreign countries, in the event the manuscript is published in the above-named publication. I further grant permission for the UPA to distribute or sell this submission as part of or extracted from the above-named publication in print and electronic text, CD-ROM and in translation, (on videocassette, broadcast, cablecast, laserdisc, multimedia or any other media format now or hereafter known). Not all forms of media will be utilized.

In the event that any elements used in the Material contain the work of third-party individuals, I understand that it is my responsibility to secure any necessary permissions and/or licenses and to pay any associated fees. If the copyright holder requires a citation to a copyrighted work, I have obtained the correct wording for such a citation and have included it in the designated space in the text of the Material.

Iunderstand that the UPA and others will invest considerable resources in reliance on the permissions and releases herein, and that the UPA is under no obligation to exercise any or all of the rights, licenses and privileges herein granted. I hereby release and discharge the UPA and other publication sponsors and organizers from any and all liability arising out of my inclusion in the publication, or in connection with the performance of any of the activities described in this document as permitted herein. I agree to indemnify, defend and hold harmless the UPA, its employees, directors, officers, and agents, from and against any and all claims and/or losses resulting from any actual or alleged infringement of any copyright, trademark, trade secret, United States or foreign letters of patent, or other intellectual property rights resulting from or arising in connection with the Material, and I shall, when notified, defend any claims of such infringement at my sole cost and expense. This indemnity shall survive any termination or completion of this Permission and Release Form.

However, each of the authors retains the following rights:

  1. all other proprietary rights to the work such as patent;
  2. the right to reuse any portion of the work, without fee, in future works of the author's own, including books, lectures and presentations in all media, provided that the UPA citation and notice of the Copyright are included;
  3. the right to revise the work (if sufficiently revised, it is considered a new work, but still should cite the original as published in UPA publication);
  4. the right to post the final published image of the work covered by UPA copyright in a personal collection on their own Home Page and on a publicly accessible server of their employer. Such image will be provided by UPA in an appropriate format (such as PDF), including final layout and all corrections and editing improvements. Such posting is limited to noncommercial access and personal use by others, and must include this notice both embedded within the full text file and in the accompanying citation display as well:

    "© UPA, (YEAR). Reprinted from PUBLICATION, {VOL#, ISS#, (DATE)} URL (if applicable)";

  5. the right of an employer who originally owned copyright to distribute definitive copies of its author-employees’ work within its organization. Posting these works for world access requires explicit permission from UPA.


All permissions and releases granted by me herein shall be effective in perpetuity and throughout the universe, and extend and apply to the UPA and its editors, officers, directors, agents and employees. The following statement of copyright ownership will be displayed with the Material, unless otherwise specified: "Copyright is held by the Usability Professionals’ Association." I also warrant that this submission is not being considered elsewhere and understand that if published by the UPA, it cannot be published elsewhere without the explicit, written permission of the copyright holder, the Usability Professionals’ Association.

The UPA reserves the right to provide a hyperlink to the author's site if the Material is used in electronic media.

____ I have not used third-party material.

____ I have the necessary permission to use third-party material.



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SIGNATURE (author)


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PRINT NAME

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Date

PLEASE RETURN THIS FORM TO:
Usability Professionals’ Association, 140 N. Bloomingdale Road, Bloomingdale, IL 60108-1017

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