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AUBURN UNIVERSITY AUTHORSHIP AND ROYALTY AGREEMENT DISTANCE EDUCATION

The purpose of this document is to establish ownership of marketable electronic-based instructional materials, described below to include: analog or digital recordings on such media as magnetic tape, computer disks, web pages, CD-ROMs, DVDs, and any other accompanying printed materials. This is recognized as a work made for hire and is owned by Auburn University. It is expressly agreed that the University faculty and/or staff identified below as author is entitled to a royalty payment as detailed in Section II below. Ownership is based on the Copyright Law, Title 17 of the United States Code as amended in 1978, and the 1984 Copyright Policy of Auburn University.

This document shall further be used in recording income and direct remuneration to the faculty author as agreed upon with the University. Income shall be processed through the Bursar’s Office. Royalty payments shall be administered through accounts payable and reported to the Internal Revenue Service.

I.

CLAIM TO AUTHORSHIP

Approval #

________________________

Title of Work:

Author:

_________________________________________________

(Name must match name on Social Security Card)

SSN: _____________________________

Co-author(s)?

Yes

__

No

__

(If yes, attach multiple Author/Royalty forms)

AU Department Address:

_______________________________________________________________

Home/Mailing Address:

_______________________________________________________________

_______________________________________________________________

Producer: __

___________

__________________________________________________

Physical Description of Materials: _

___________

____________________________________________________

II

.

ROYALTY AGREEMEN

T

The above work was a result of:

A University-assisted individual effort?

Yes

___

No

___

A University-assigned effort?

Yes

___

No

___

Agreement:

_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________

Author’s Name:

_______________________________

_____________________________

___________

Print Name

Signature

Date

III.

APPROVAL TO PAY

_________________________________________ ________

______________________________________

_______

Director/Department Head

Date

Dean

Date

_________________________________________ ________

______________________________________

_______

Vice President for Research

Date

Vice President for Business and Finance

Date

_________________________________________ ________

Project Director or Paying Unit

Date

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ V i c e P r e s i d e n t , O u t r e a c h

_______

Date

Please forward a completed copy of this form to Distance Learning, 305 O D Smith Hall, Auburn University, AL 36849.

33

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