Permissions request form

Please read the following guidelines before submitting your request.
If the requested material is in paperback, please check the copyright page at the front of the
book for information indicating that another publisher previously published the title. In most
cases you should apply for permission to the original publisher directly.
If the requested material is part of an anthology or a collection, please check the
acknowledgement page(s) for details on the copyright holder of the material you wish to
reproduce. If the copyright is not held by Penguin (UK), apply for permission to the
acknowledged third party directly.
UK copyright expires at the end of the period of 70 years from the end of the calendar year
in which the author dies, unless the work was published posthumously. If the copyright has
expired, the original text may be reproduced freely and no permission is needed.
We cannot grant translation rights in all languages, please reapply for each separate
language at a time when you have determined the publication.
Please do not send duplicate requests.
To apply for permission to use material from Penguin (UK) publications, please complete all the
fields appropriate to your particular request. Please do not omit any information as this may
cause delays in processing your request.
In certain cases we have to consult authors, literary agents or estates, and this might also
prolong the time of processing your request.
Adults’ books:
Children’s books:
[email protected]
[email protected]
+44 (0)20 7010 6702
Penguin Group, Permissions Dept., 80 Strand, London WC2R 0RL, UK
Your Details
Whom to invoice
VAT number
(if applicable)
Requested Material
Title of Book
Page number(s)
Number of words
(prose) or number of
lines (poetry)
Description of image
Size of image in your
publication (delete
as appropriate)
Up to ¼ page - up to ½ page – up to full page
Please note, if you are requesting permission to reproduce/feature a cover, we require a copy of both front
and back cover together with the copyright page.
Usage Details
Please indicate how you wish to use the requested material under the relevant heading
Territory for distribution
Format (hardback,
paperback, eBook, audio)
Print run
Proposed retail price
Publication date
Extent (no of pages)
Description of your
Context in which material
would appear
URL where material would appear
Estimated publication date
Approx number of visitors per month
Will the material be password
Territory for distribution
Context in which the material will
Number of copies required
Name of educational institution or
Course name
Start date of course
Context in which photocopies will be
Prop Use (i.e incidental prop use and/or set dressing)
Title of production
Production company
Format (tv/film etc.)
Date of broadcast(s)
Description of usage and synopsis
Territory for distribution
Venue capacity
Nature of performance
Number of performances
Date of performance/s
Will there be a charge for tickets? If
so, how much?
Files for Reading Impaired Persons
(Please note that if a file is available it will be provided in PDF format)
Student name/number
Details of impairment (optional)
Course name
Course Instructor
Course dates
Has the student purchased a print
copy of the book?
For any requests not covered by the sections above
please fill in as much information as possible here