Our reference: <Journal code> <Item nr>
<JOURNAL OWNER>
LICENSE AGREEMENT
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION, REVIEW OUR POLICIES AND THE LICENSE AGREEMENT, AND INDICATE
YOUR ACCEPTANCE OF THE TERMS
Article entitled: <Item title>
Corresponding author: <title> <forename> <surname> [of au-type = corresponding]
To be published in the journal: <Journal title>
YOUR STATUS (PLEASE MARK ALL THAT APPLY)
I am the sole author of the manuscript
Please indicate which of the below also apply to you:
I am a UK, Canadian or Australian Government employee and Crown Copyright is asserted
I am a US Government employee and the Article is public domain and therefore the ‘License of publishing rights’ clause does not
apply
I am a contractor of the US Government under contract number: ……………….………………………….………………………
None of the above
I am one author signing on behalf of all co-authors of the manuscript
Please indicate which of the below also apply to you and your co-authors:
We are all US Government employees and the Article is public domain and therefore the ‘License of publishing rights’ clause does not
apply
I am a US Government employee but some of my co-authors are not
I am not a US Government employee but some of my co-authors are
The work was performed by contractors of the US Government under contract number: ...………………….…………..………...
All or some of the authors are UK, Canadian or Australian Government employees and Crown Copyright is asserted
Some of the authors are employees of the UK, Canadian or Australian Government but Crown Copyright is not asserted
None of the above
I am signing as an authorized representative and on behalf of my employer
Name and job title of licensee if different from corresponding author: .....................................................................................
Please indicate which of the below also apply to you:
The Article is authored by US Government employees and the Article is public domain and therefore the ‘License of publishing rights’
clause does not apply
The work was performed by contractors of the US Government under contract number: ………………………………………..
The Article is authored by UK, Canadian or Australian Government employees and Crown Copyright is asserted
My employer is the owner of the copyright in the Article
Organization (please use the full name of the organization as it should appear in the copyright notice: ………………………………….
None of the above
DATA PROTECTION & PRIVACY
I understand that staff of [if journal owner = society: <Society name> and the publisher and its affiliated companies worldwide] [if journal owner =
Elsevier: <Name owning company> and its affiliated companies worldwide] [if journal owner = joint: <Society name>, <Name owning company>
and its affiliates worldwide] will be contacting me concerning the publishing of the Article and occasionally for marketing purposes unless, with
respect to such marketing, I tick the box below).
I do not wish to receive news, promotions and special offers about products and services of [if journal owner = society: <Society name>
and the publisher and its affiliated companies worldwide] [if journal owner = Elsevier: <Name owning company> and its affiliated
companies worldwide] [if journal owner = joint: <Society name>, <Name owning company> and its affiliates worldwide]
Please tick one or more of the above boxes (as appropriate), review the License Agreement, and then sign and date the License Agreement in black
ink.
Signed: ______________________________________ Name printed: ___________________________________________
Title and Company (if employer representative): _________________________________________________________
Date: _______________________________________
Please sign this License Agreement and return the completed and signed original of this form by mail or fax, or by e-mailing a scanned copy of the
signed original, retaining a copy for your files, to:
Our reference: <Journal code> <Item nr>
THE LICENSE AGREEMENT
License of publishing rights
I hereby grant to Journal Owner an exclusive publishing and distribution license in the manuscript identified above and any tables, illustrations or
other material submitted for publication as part of the manuscript (the “Article”) in print, electronic and all other media (whether now known or later
developed), in any form, in all languages, throughout the world, for the full term of copyright, and the right to license others to do the same, effective
when the Article is accepted for publication. This license includes the right to enforce the rights granted hereunder against third parties.
Supplemental Materials
“Supplemental Materials” shall mean materials published as a supplemental part of the Article, including but not limited to graphical, illustrative, video
and audio material.
With respect to any Supplemental Materials that I submit, Journal Owner shall have a perpetual worldwide, non-exclusive right and license to publish,
extract, reformat, adapt, build upon, index, redistribute, link to and otherwise use all or any part of the Supplemental Materials, in all forms and media
(whether not known or later developed) and permit others to do so. The publisher shall apply the same end user license to the Supplemental Materials
as to the Article where it publishes the Supplemental Materials with the Article in the journal on its online platforms on an Open Access basis.
.Research Data
“Research Data” shall mean the result of observations or experimentation that validate research findings and that are published separate to the Article,
which can include but are not limited to raw data, processed data, software, algorithms, protocols and methods.
With respect to any Research Data that I wish to make accessible on a site or through a service of Journal Owner, Journal Owner shall have a perpetual
worldwide, non-exclusive right and license to publish, extract, reformat, adapt, build upon, index, redistribute, link to and otherwise use all or any part
of the Research Data in all forms and media (whether now known or later developed), and permit others to do so. Where I have selected a specific end
user license under which the Research Data is to be made available on a site or through a service, the publisher shall apply that end user license to the
Research Data on that site or service.
Scholarly communication rights
I understand that I retain the copyright in the Article and that no rights in patents, trademarks or other intellectual property rights are transferred to the
Journal Owner. As the author of the Article, I understand that I shall have the same rights to reuse the Article as those allowed to third party users (and
Journal Owner) of the Article under the CC BY License.
User rights
The publisher will apply the Creative Commons Attribution 4.0 International License (CC BY) to the Article where it publishes the Article in the
journal on its online platforms on an Open Access basis. For further information, see http://www.elsevier.com/about/open-access/open-access-options.
The CC BY license allows users to copy, to create extracts, abstracts and new works from the Article, to alter and revise the Article and to make
commercial use of the Article (including reuse and/or resale of the Article by commercial entities), provided the user gives appropriate credit (with a
link to the formal publication through the relevant DOI), provides a link to the license, indicates if changes were made and the licensor is not
represented as endorsing the use made of the work. The full details of the license are available at https://creativecommons.org/licenses/byy-nc-
nd/4.0/legalcode
Reversion of rights
Articles may sometimes be accepted for publication but later rejected in the publication process, even in some cases after public posting in “Articles
in Press” form, in which case all rights will revert to the author (see http://www.elsevier.com/locate/withdrawalpolicy).
Revisions and addenda
I understand that no revisions, additional terms or addenda to this License Agreement can be accepted without Journal Owner’s express written consent.
I understand that this License Agreement supersedes any previous agreements I have entered into with Journal Owner in relation to the Article from
the date hereof.
Copyright Notice
The publisher shall publish and distribute the Article with the appropriate copyright notice.
Author Representations/Ethics and Disclosure
I affirm the Author Representations noted below, and confirm that I have reviewed and complied with the relevant Instructions to Authors, Ethics in
Publishing policy, Declarations of Interest disclosure, and information for authors from countries affected by sanctions (Iran, Cuba, Sudan, Burma,
Syria or Crimea). Please note that some journals may require that all co-authors sign and submit Declarations of Interest disclosure forms. I am also
aware of the publisher’s policies with respect to retractions and withdrawal (http://www.elsevier.com/locate/withdrawalpolicy).
For further information see the publishing ethics page at http://www.elsevier.com/publishingethics and the journal home page. For further
information on sanctions, see https://www.elsevier.com/trade-sanctions
Author Representations
The Article I have submitted to the journal for review is original, has been written by the stated authors and has not been previously published.
The Article was not submitted for review to another journal while under review by this journal and will not be submitted to any other journal.
The Article and the Supplemental Materials do not infringe any copyright, violate any other intellectual property, privacy or other rights of
any person or entity, or contain any libelous or other unlawful matter.
I have obtained written permission from copyright owners for any excerpts from copyrighted works that are included and have credited the
sources in the Article or the Supplemental Materials.
Except as expressly set out in this License Agreement, the Article is not subject to any prior rights or licenses and, if my or any of my co-
authors’ institution has any policy that might restrict my ability to grant the rights required by this License Agreement (taking into account
the Scholarly communication rights permitted hereunder), a written waiver of that policy has been obtained.
Our reference: <Journal code> <Item nr>
If I and/or any of my co-authors reside in Iran, Cuba, Sudan, Burma, Syria or Crimea, the Article has been prepared in a personal, academic
or research capacity and not as an official representative or otherwise on behalf of the relevant government or institution.
If I am using any personal details or images of patients, research subjects or other individuals, I have obtained all consents required by
applicable law and complied with the publisher’s policies relating to the use of such images or personal information. See
http://www.elsevier.com/patientphotographs for further information.
Any software contained in the Supplemental Materials is free from viruses, contaminants or worms.
If the Article or any of the Supplemental Materials were prepared jointly with other authors, I have informed the co-author(s) of the terms
of this License Agreement and that I am signing on their behalf as their agent, and I am authorized to do so.
Governing Law and Jurisdiction
This License Agreement will be governed by and construed in accordance with the laws of the country or state of Journal Owner (“the Governing
State”), without regard to conflict of law principles, and the parties irrevocably consent to the exclusive jurisdiction of the courts of the Governing
State.
For information on the publisher’s copyright and access policies, please see http://www.elsevier.com/copyright.
