Copyright Transfer Agreement

(please print clearly)Title of work:

 

 

 


First Author:

 


In compliance with the Copyright Revision Act of 1976, effective January 1, 1978, the Society of Laparoscopic & Robotic Surgeons (SLS), in consideration of reviewing and editing the work described above for first publication on an exclusive basis, requests that each author sign a copy of this form.

Such signature shall evidence the mutual understanding between the Society of Laparoscopic & Robotic Surgeons and the undersigned author(s) hereby transferring, assigning, or otherwise conveying all copyright ownership, including any and all rights incidental thereto, exclusively to the Society of Laparoscopic & Robotic Surgeons effective upon acceptance of the said work for publication.

The author(s) warrant(s) that he/she/they is (are) the author(s) and sole owner(s) of the work submitted; that the work is original and has not been published elsewhere in print or electronic format; that the work is not being considered for publication by another journal; that the work has been seen and approved by all authors; that the work has not been previously transferred, assigned or otherwise encumbered; and that the author(s) has/have full power to grant such rights. In addition, the undersigned author(s) hereby grant(s) to the SLS the right to edit, revise, abridge, condense, and translate the work.

In the event that the Society of Laparoscopic & Robotic Surgeons does not publish said work, author(s) will be notified and all rights assigned hereunder will revert to author(s).

Author(s) / Printed Name:







 

 

Signature(s) / Date Signed:






 


For US Government Employee Author(s):
The undersigned author(s) hereby warrants that the above-described work was authored by employees of the United States Government as part of their official duties and therefore may be published and reproduced without restriction. All non-government employee authors must sign the prior portion of this agreement transferring copyright.

 

Author(s) / Printed Name:






 

 

Signature(s) / Date Signed: