Digitizing Request Form

Digitizing Request Form
Requestor Details

Please let us know who is making the digitizing request and how we can contact them
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@astate.edu
College
Department

Copyright and Fair use statement
I do hereby certify that in regards to the materials I have provided, I either own the copyright, have received a license to use the materials from the copyright holder, or am using the materials in a manner that I reasonably believe is in compliance with the Fair Use exception to the copyright laws.*

I agreeI disagree
If you have any questions about whether your use of this media would comply with Copyright law and the Fair Use exception, please contact the Office of General Counsel for the Arkansas State University System. https://www.asusystem.edu/staff/general-counsel/

Sorry!
We are not able to digitize materials that you do not either own the copyright, have received a license to use the materials from the copyright holder, or am using the materials in a manner that I reasonably believe is in compliance with the Fair Use exception to the copyright laws.

If you have any questions about whether your use of this media would comply with Copyright law and the Fair Use exception, please contact the Office of General Counsel for the Arkansas State University System. https://www.asusystem.edu/staff/general-counsel/

Please save this form until you are sure your use complies with the above statement. You can then use the Back button to continue with your request.

Requestor Details