SAMPLE USENIX CONSENT FORM for REFEREED PAPERS
This is a sample form, not intended for actual use. Please see the instructions for authors for the event at which your paper has been accepted for the appropriate consent form.
DATE and LOCATION
We must receive your signed consent form at the time you submit your files. All authors may sign a single form, or each author may send in a separate signed form. Please return this form by fax or mail to:
- Casey Henderson
- USENIX Association
- 2560 Ninth Street, Suite 215
- Berkeley, CA 94710
- Tel: (510) 528-8649
- Fax: (510) 548-5738
- Email: email@example.com
AUTHORIZATION AND LICENSE TO PUBLISH
A major mission of the USENIX Association is to provide for the
creation and dissemination of new knowledge. In order to facilitate
this process, USENIX allows authors to retain ownership of the
copyright to their works, requesting only that USENIX be granted an
exclusive right to publish for a limited period of time. The USENIX
Association also wishes to allow the free reproduction of published
material for educational and/or research purposes.
Therefore, the parties agree as follows:
- Grant of Rights to Publish. You
hereby grant to The USENIX Association ("USENIX"), exclusive rights to
publish the paper provisionally entitled:
(the "Paper") and to disseminate the Paper in printed form, electronically, and in audiovisual formats (the "Rights").
USENIX initially plans to publish the Article in the following publication:
EVENT PROCEEDINGS NAME
(the "Original Publication")
and to mount the files permanently on the USENIX
but may also wish to otherwise disseminate the Paper, as well as the oral presentation of the Paper
(either on media or as a live broadcast), and to
publish overheads or slides and audiovisual content on the USENIX Web server.
- Posting. During the term of
the Rights, you shall not publish or grant others the right to publish
or otherwise disseminate the Paper. However, you shall retain the
right to post the Paper on your FTP or Web site(s) for electronic
access, provided that in such event you include a notice to the
effect that the Paper shall be or was first published in the
Original Publication as described above.
- Duration of
Rights. These Rights will remain in effect for 12 months following
USENIX's notification to you of its acceptance of the Paper.
Thereafter the Rights will remain in effect as non-exclusive rights to
continue disseminating the Paper in print, electronic, and audio
- Author Retention of Ownership. Other than
granting USENIX the Rights set forth above, you retain all right,
title, and interest in the Paper. These Rights do not transfer to
USENIX any title to or ownership of the Paper.
- Notice Request. USENIX will include the following notice on the first
page of the Original Publication:
"Copyright to this work is retained by
the author[s]. Permission is granted for the noncommercial
reproduction of the complete work for educational or research
- Subsequent Publication by Author. You are requested to include a notice of original publication by USENIX in any subsequent publication of the Paper or a revised version of the Paper.
- Warranties. You warrant that:
a. You are the sole author and owner of the Paper and the
rights pertaining thereto or, if the Paper is a work of joint
authorship, that all of the owners of the Paper have signed and
submitted a copy of this
document. If the Paper is owned by your employer, you have
obtained permission to enter into this agreement.
- b. USENIX
does not need the permission of any other party to exercise the Rights
- c. The Paper does not contain any libelous
or unlawful material.
- d. The Paper does not infringe upon
the rights of others.
- e. The Paper and its contents are
original to you.
- f. The Paper is not currently submitted for
publication and has not been previously published elsewhere.
- g. If the Paper contains significant excerpts from other
copyrighted materials, written permission from the copyright holders
have been obtained, copies of such permission are attached to this document, and proper
credit has been given in the Paper.
Printed Name(s) of
Authorized Signature for USENIX______________________________________