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Worksheet:  Gaining Permission and Keeping Documentation for Using Images:  Created by Silver Lisa: This worksheet is copyright free

Every time you find an image file you'd like to download from the internet, complete the following information.


You will need this information to put in your email asking permission to use the image.



Image #1

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______




Image #2

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______


Image #3

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______



Image #4

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______


Image #5

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______


Image #6

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______

Image #7

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______



Image #8

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______


Image #9

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______


Image #10

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______

Image #11

  1. Filename of graphic image (ends in .jpg or .gif): ___________________________________________________                                         

  2. Short description of image: ____________________________________________________________________________________________  

  3. URL of the web page : ________________________________________________________________________________________________

  4. Is the image clearly and explicitly in the public domain?  You cannot legally copy from another's copy. You must go to the source and make your own copy of a public domain image. You may use the image without permission if it is in the public domain.  If not, proceed to Step 5:   (circle one)    YES, the image is explicitly in the public domain        or     Nope

  5. Is the image clearly and explicitly copyright free? You cannot legally copy from another's copy. You must go to the source and make your own copy of a copyright free image. You may use the image without permission if it is copyright free.  If not, proceed to Step 6:   (circle one)    YES, the image is explicitly in the public domain        or     Nope
  6. Name of contact person, if known: ___________________________________________                                                                      

  7. Email address for contact person: ___________________________________________                                                                   

  8. Date you emailed the contact person:  ______________

  9. Date you received a response:   ______________

  10. Did you remember to SAVE the responsive email?:  _______

  11. Did you gain permission to use the image?:  _______

  12. Were you given specific instructions or restrictions from the contact person?  If so, what instructions/restrictions must you follow?   _________________________________________________________________________________________________________________     

  13. Did you remember to (a) provide a link to the image file; or (b) to comply with contact person's instructions/restrictions?:  _______

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