Open Access Policy Waiver

Include middle names if desired.

For multiple names, please add each name on a separate line.

Enter the publication date or the date you completed the item.
Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act ("Act") and will be protected under Part 2 of the Act. The information is collected for the purpose of providing requested waivers of the University's Open Access Policy and preparing the annual report required under the Policy. If you have any inquiries in regards to the collection of your personal information, please direct those inquiries to:
FOIP Coordinator, University of Lethbridge, 4401 University Dr. West, Lethbridge, Alberta T1K 3M4, telephone: 403-332-4620, email: