Student Accessibility File Request

Request & Usage Details

Title:

Edition:

13 Digit ISBN:

Date Purchased:

Purchase Location:

Purchase Price:

Have you verified that the student or someone on the student's behalf has issued payment to the publisher for a print or electronic version of the textbook?

Yes

No

Course ID:

Semester:

Contact Information

Requestor First Name:

Requestor Last Name:

Requestor Email:

Requestor Phone:

Student First Name:

Student Last Name:

Instructor Name:

School:

File Storage

In the case where a file may have been previously provided for use by another student at your school, a new request must be submitted and approved for each student requiring use of the file.

Will this file be housed in a centralized repository, depository, or other file storing system?

Yes

No

If the file has been requested previously, do you require the file to be re-sent?

Yes

No

Previous Request Date:

Verification & Agreement

I verify and agree that:

The requesting school or student with a disability has purchased the above named printed work (the "Title").
The student is registered to take or attend the above course requiring the use of the Title.
The student has a disability that prevents them from using the Title.
The request is made or supported by the Student Accessibility Office or other appropriate school official.
The Title has been determined to be essential to the student's successful completion of the course.
The student and the school will not use or further distribute or copy the electronic files for the Title for any other purpose.
In using the electronic files provided by the Publisher, the Student Services Office, or other student official, will abide by the Copyright Law of Canada and the applicable code of conduct and policy of the requestor's school.
Emond Publishing owns all rights to the Title and the electronic files for the Title, including copyright. The student and the school have only the right to use the electronic files for the purposes set forth in this request.

This file is being provided for use by one student with a disability at your institution who is the specific subject of this request. You agree not to otherwise reproduce, use, sell, transmit, publish, broadcast, or otherwise disseminate or distribute the file (or any version modified for accessibility purposes) to anyone, including but not limited to other students with a disability at your or any other institution, others in the same company, school, college or other organization, whether or not for a fee or other consideration, including but not limited to use in connection with the sale, retransmission, distribution, publication, broadcasting, circulation or other dissemination, for any purpose, whether commercial or otherwise, without the express prior written permission of Emond Publishing.

EXCHANGE OF THIS OR ANY OTHER FILE, IN A MODIFIED FORMAT OR COPY THEREOF, IS A VIOLATION OF THE CANADIAN COPYRIGHT ACT. SEPARATE AUTHORIZATION MUST BE OBTAINED FOR EVERY USER OF THIS FILE, ITS MODIFIED FORMAT OR COPY THEREOF, AND SEPARATE PROOF OF PURCHASE OF THE TEXT MUST BE PROVIDED.

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