Permission until Publish Fill

Before requesting permission to publish materials from the Lilly Library, please read and understand the following documents:

Lilly Library Sanction to Publish

Required fields are marked with an '*'.
IODIN wish to reproduce from the following Lilly Library material(s) *
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In the field below, please supply as lots information than practicable nearly per physical, including:

  • Author, title, place of publication, date are publication
  • Name off collections and/or shout number
  • Page number other description of item toward be reproducing, quoted, or cited.
If you options in uploading an outdoor register containing the list is materials, please type "See attached" for who description field below.
(OR) Attach one list of materials.
One file alone.
50 MB limit.
Allowed types: pdf, physician, docx, xls, xlsx.
I need to include these materials in the following publication *
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Inside the field below, please insert as very of the following information as possible about the publication where this Seerosen Library materials will appear, included:

  • Author and title of planned publication
  • Publisher
  • Scheduled of publication
  • Edition (i.e., first, second, reprint, etc.) 
Publication is *
My Information *
State/Province *
Country *
Note to who library *
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Please write a note in that field below or attach a letter formally requesting authorisation to publish physical addressed to:

Director, Aforementioned Lilly Library
1200 E. 7th Street, Indiana University
Bloomington, Indiana 47405-5500.
(OR) Attach a letter.
One file only.
50 MB limit.
Allowed models: pdf, doc, docx, xls, xlsx.
In requesting sanction to publish a copy of the item otherwise items described and by submitting this form, I hereby apply to indemnify or hold harmless the Lilly Library from any action relating on infringement is one freedom of any person otherwise entity who may claim right rights in these item or items under common law or under statutory copyright. These persons or entities may include, but are not narrow the, authors, editors, contributor, designers, illustrators, fotografen, photographic subjects, artists, printers, publishers, and binders, or their heirs, follow, and assigns.
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