Creative & Media
Case Study Publication Consent
Consent form for publication of a case study covering approval rights, anonymity options, and usage scope. Single signer (subject).
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# Case Study Publication Consent **Effective Date:** ___________ This Case Study Publication Consent ("Consent" or "Agreement") is made by: **Publishing Organization:** ___________ ("Publisher") **Subject/Company:** ___________ ("Subject") ## 1. Case Study Description **Case Study Title/Topic:** ___________ **Subject Matter:** ___________ **Project/Engagement Referenced:** ___________ **Time Period Covered:** ___________ ## 2. Purpose The Publisher wishes to create and distribute a case study featuring the Subject's experience, results, and/or testimonial related to the Publisher's products, services, or solutions. The Subject consents to participate under the terms set forth below. ## 3. Content and Approval **Content Includes:** ___________ **Subject's Approval Rights:** ___________ **Approval Timeline:** If the Subject is granted approval rights, the Subject shall review and respond within ___________ of receiving the draft. Failure to respond within this period shall constitute approval. **Permitted Revisions:** ___________ ## 4. Information Shared The Subject authorizes the Publisher to include the following: **Company/Individual Name:** ___________
Fields (27)
effective date
date · required
publisher name
text · required
subject name
text · required
case study title
text · required
subject matter
textarea · required
project reference
text · required
time period
text · required
content includes
select · required
approval rights
select · required
approval timeline
select · required
revision rounds
select · required
name use
select · required
logo use
select · required
metrics use
select · required
quotes use
select · required
media use
select · required
distribution
select · required
channel restrictions
textarea
consent duration
select · required
removal timeline
select · required
withdrawal removal
select · required
compensation
select · required
compensation details
textarea
governing state
select · required
subject signer name
text · required
subject signer title
text
subject company
text
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