Commons:Email templates
From Wikimedia Commons, the free media repository
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This collection contains email templates for certain situations. Naturally you can modify the suggested templates or use your own choice of language. Please document permissions you received upon your enquiries at the appropriate page and please forward a copy of the permission to permissions-commons
wikimedia.org, which serves as the Wikimedia Foundation's Central archive for permissions. See also Commons:OTRS.
Only the copyright holder can give consent
If you email an organization, make sure you get in contact with the specific copyright holder for a work. They are the only one who can legally release a work under a specific license.
Declaration of consent for all enquiries
Due to the large number of ambiguous answers to enquiries concerning a permission of reuse for an image, text or similar (such as "I allow Wikipedia to reuse my photos") it is advisable to attach to your enquiry email a standard declaration of consent (and point to it in the email), which can be returned by the author/copyright owner in the email reply. The precedent below should be amended, as necessary, with the required additional information. Note that "WORK" and "LICENSE" should not appear in the emailed reply as they should be replaced by details of the image and license.
To permissions-commons
wikimedia.org
I hereby assert that I am the creator and/or sole owner of the exclusive copyright of WORK [ insert link ].
I agree to publish that work under the free license [ choose at least one from http://commons.wikimedia.org/wiki/Commons:Choosing_a_license#Common_free_licenses — THIS DECLARATION IS NOT VALID UNLESS YOU FILL SOMETHING IN HERE ].
I acknowledge that I grant anyone the right to use the work in a commercial product, and to modify it according to their needs, as long as they abide by the terms of the license and any other applicable laws.
I am aware that I always retain copyright of my work, and retain the right to be attributed in accordance with the license chosen. Modifications others make to the work will not be attributed to me.
I am aware that the free license only concerns copyright, and I reserve the option to take action against anyone who uses this work in a libelous way, or in violation of personality rights, trademark restrictions, etc.
I acknowledge that I cannot withdraw this agreement, and that the work may or may not be kept permanently on a Wikimedia project.
DATE, NAME OF THE COPYRIGHT HOLDER
More examples
More examples can be found on Example requests for permission.