Open Access Fees -RequestForm

Open Access Fees -Request Form
Details of research funder open access policies can be found on the Library Research webpages here:http://www.library.qmul.ac.uk/research/open-access/open-access-and-your-funder/

To make a claim for open access licence fees, please complete the following
Personal Details
Name*

First NameLast Name
Email*
example@qmul.ac.uk
School/Department*
Date*

MonthDayYear
Date
Publication Information
Correspondance Author
Principle Investigator
Paper Title
Journal Title
Publisher
Paper Details
Type of publication
Publication Status
Date Of Accptance

MonthDayYear
Date
Have you uploaded your final manuscript via Elements?*

YesNo
Funding
Was your research funded?*

YesNot funded
Research Publication Funding

If your research was funded please provide funder details
Research Funder
Grant Number
Grant Title
Grant Holder
Research Funder
Grant Number
Grant Title
Grant Holder
Are the above Research Grants acknowledged on the publication?

YesNo
Open Access Licence

Your paper must be published under an open access licence to qualify for funding
Have you requested an open access licence?*

NoCC BYCC BY-NCCC-BY-NC-NDOther
Please provide further details if you selected 'Other'
We cannot pay for publication charges from our open access awards (colour images, page over-length etc.) Any such additional charges will have to be met by authors or departments.
Cost of Open Access Licence?
Example: £1000.00
Does this work have commercial potential?*

YesNo
If Yes, a copy of this form will be sent to Queen Mary Innovation Ltd https://www.qminnovation.co.uk.
If there is any additional information you wish to provide, please add it here:
If you have any questions, please contact openresearch@qmul.ac.uk

After submitting your application we will assess eligibility for open access funding and endeavour to respond within 2 working days outlining the level of support we can offer.
Should be Empty:

Open Access Fees -Request Form

Personal Details

Publication Information

Paper Details

Funding

Research Publication Funding

Open Access Licence