Transfer of Copyright



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Transfer of Copyright

In order to comply with present U.S. copyright law, each author of a submitted manuscript must sign this form. Your signature on this form expressly transfers copyright on the manuscript and its contents (tables, figures, photos, etc.) to American Nursing Informatics Association (ANIA) in the event that it is published in media now and hereafter invented. We regret that failure to sign will necessitate the return of your manuscript.

In consideration of ANIA taking action in reviewing and editing this manuscript, the author undersigned hereby transfers, assigns, or otherwise conveys all copyright ownership to ANIA in the event that such work is published in media now and hereafter invented. The author further acknowledges that the manuscript is an original manuscript not previously published or currently submitted for publication. The author also assumes responsibility for obtaining the necessary permission when using previously published materials such as tables or figures.

Please check box and attach a note of explanation:

( I also certify that I will disclose any affiliations with or involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the manuscript (e.g. employment, consultancies, stock ownership, honoraria, expert testimony).

Author Signature Credentials Date

Mailing Address

Present Position

Place of Employment Address

Email Address

Home Telephone Work Telephone FAX Number

Title of Manuscript

Primary Author

Have you used a ghostwriter? If yes, add name and contact info: _________________________________

______________________________________________________________________________________

**If this work has been commissioned by an institute or organization, each author certifies that the institution/ organization has approved the data presented in this article, and an authorized representative of the institution/organization must also sign the line above, stating his or her title in the institution/organization.

NOTE: Any request to reprint this article, in whole or in part, mechanical or electronic, requires the permission of ANIA.

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