Check the boxes relevant to your intended use of copyrighted materials, evaluate the balance, and reach a conclusion.
A copy of this checklist must be turned in with each request to place materials on course reserve. In addition, you should retain a copy of this checklist for your files.
Please attach a list citing the works to be placed on reserve using a claim of fair use.
Please sign here: __________________________________________________
This checklist is based on the "Checklist for Fair Use" provided by the Copyright Management Center, IUPUI, 530 W New York St., Indianapolis, IN 46202, http://www.copyright.iupui.edu