I understand and agree these materials will be collected by the IDOE and become the property of the IDOE. I hereby authorize the IDOE to edit, alter, copy, exhibit, publish and/or distribute my licensed material and information. I waive the right to inspect or approve licensed material and information to which this release applies. I acknowledge that I will not receive financial compensation of any type for the use of my licensed material and information. I further waive and release the IDOE from any and all claims, demands, and liabilities arising from, or in connection with, the use of my licensed material and
I understand that my consent may be revoked at any time by submitting written notice to:
Marsha Bugalla, JD, General Counsel
Indiana Department of Education
200 West Washington Street, Rm. 228
Indianapolis, IN 46202
317-234-5704 (phone), 317-232-8004 (fax)
I understand that if consent is revoked, the IDOE will discontinue publishing my licensed material and information and will destroy or remove any existing copies in its possession. I understand the IDOE requires ten (10) business days to process my request. I understand the IDOE is unable to recall any information that has been distributed including images that may have been captured from the IDOE website(s). I understand this release only applies to licensed material and information in existence. In the event the IDOE requires an additional license or information, it will seek an additional release.
I verify that I am at least eighteen (18) years of age and that I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.