Waiver of Moral Rights

[Note: Omit words in brackets that are not applicable].

I, ____________________________________,

(Name of Author waiving moral rights)

[identify the nature of the relationship between the author and the organization named

below, if applicable]

[of ____________________________________________________]

(Name of University/Firm/Company)

assert that I am the author (one of the authors) of ……[Describe the copyrighted

work]……………………… ("Work").

Whereas pursuant to s. 14.1(1) of the Copyright Act, R.S., 1985, c. C-42 (Copyright Act) I

have the right to the integrity of the Work and the right, where reasonable, to be associated

with the Work as its author by name or under a pseudonym and the right to remain

anonymous (Moral Rights).

I hereby permanently waive in favour of Her Majesty in Right of Canada, my Moral Rights

in the Work, pursuant to s.14.1(2) of the Copyright Act.

Executed at [City] __________, this ________ day of _________, 20__.

____________________________________

(Signature of Individual Waiving Moral Rights)

_____________________________________

(Printed Name of Individual Waiving Moral Rights)

Please send your completed form to:

Fisheries and Oceans Canada

Communications Branch

200 Kent Street

13th Floor, Station 13E225

Ottawa ON K1A 0E6

Canada

Telephone: 613-993-0999

Facsimile: 613-990-1866