Application for Copyright Clearance of Government of Canada Works

Privacy Statement

Provision of the information requested on this form is voluntary. The personal information collected is to be used to respond to your request for copyright clearance on Government of Canada works. We may share this information with other government departments if your inquiry relates to these departments. An incomplete form may result in the rejection of your request or a time delay in processing your request. The personal information will be maintained in the Personal Information Bank of Fisheries and Oceans Canada, DFO PPU 010 and it will be protected, used and disclosed in accordance with the Privacy Act. Under this Act, you have the right to access your personal information and request changes to incorrect information. The information will be retained by the Department indefinitely until the retention and disposal schedule is determined and then disposed accordingly.

To complete this form, please copy and paste it into an email and send it to the address at the bottom of this page ( Please note that this form applies to Fisheries and Oceans Canada works only, and that all fields marked by an asterisk (*) must be completed.

1. Applicant Information

2. Information on the applicant's work

N.B. If the FISHERIES AND OCEANS CANADA material has been adapted or revised, copies of your adapted/revised work and the FISHERIES AND OCEANS CANADA material must be included with your request.

If known

3. Information on the Government of Canada work

If known

4. Additional information

(If you wish to print, please do so before clicking submit)

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