[Letterhead or Return address]
[Rights holder name and address]
Re: [Name of work for which permission is requested]
Dear [Sir or Madam] [Permissions Editor] [Personal name, if known]:
I am on the faculty at the University of Idaho where I teach in the [your department] department. I am in the process of creating [describe your project]. In my research, I have found the following work: [name of work under copyright]. I believe that you hold the copyright to this work and that it would have important educational value for my students. I would like your permission to include the following material from [name of work under copyright] in [name of your project]:
[Citation with source information]
[Describe how the project and material will be used]. It will be accessible to [describe users].
If you do not control the copyright on all of the above mentioned material, I would appreciate any contact information you can give me regarding the proper rights holder(s), including current address(es). Otherwise, your permission confirms that you hold the right to grant the permission requested here.
I would greatly appreciate your consent to my request. If you require any additional information, please do not hesitate to contact me. I can be reached at:
[Your contact information]
A duplicate copy of this request has been provided for your records. If you agree with the terms as described above, please sign the release form below and send one copy with the self-addressed return envelope I have provided.