EVERYTHING DiSC^® REQUEST FORMS

Wiley Copyright Permission Request Form

Complete a Copyright Permissions Request Form if you want to:

Reproduce any portion of Wiley copyrighted material, including but not limited to print publications, video, audio, software, or web-based products.
Modify or adapt any Wiley copyrighted material to create materials for sale or for use in consulting and training.
Write a book or article in which you refer to Wiley products or the models on which they are based, even if you believe you are not directly using any Wiley materials. We will review for proper trademark use, any possible copyright violations, etc.

About the Wiley Copyright Permission Request Process:

Please submit the form at least 30 days in advance of intended use.
Each Permissions Request is considered on a case-by-case basis. Allow ten (10) business days to process requests.
If Wiley decides to grant permission, you will receive information regarding terms and any fees.
Once you have accepted the terms, a Permissions Agreement will be generated, which must be signed by you and Wiley before it is valid.

Noncompliance Infringement of Wiley’s copyrights, trademarks, or proprietary rights may result in legal action, financial penalties, and/or termination of your Authorized Partnership. Copyright is secured in the United States and abroad. Report noncompliance issues to Rights@EverythingDiSC.com.

Copyright Permission Request Form:

Name and Company Name*:

Partner ID (if applicable):

Address:

Company Website*:

Phone*:

Email*:

This is a request to:

Who will be using the content being requested:

Date of intended use for requested content:

Intended use (e.g., webinar, training, etc.):

Term of use (e.g., one time, three seminars, etc.):

Exact Product name/Pages to be used:

Number of copies to be made:

Number of participants in program:

Specific content changes or modifications (if any)*:

Do you plan to purchase and use a Wiley profile in conjunction with this request?*

Yes No

If so, which one and how many?:

Do you intend to resell the element you are inquiring about?*

Yes No

If so, please provide the details:

Other Information:

Upload the materials you wish to receive permission to use*:

Select a file