Sample Case (Critical Incident) Release Forms

SAMPLE CASE (CRITICAL INCIDENT) RELEASE FORMS

Example One: Author Generated

On behalf of (insert name of company, individual, or organization), I have reviewed and

hereby authorize (insert name(s) of author(s)) to publish for academic use the case (insert

“title of case”).

________Signature__________

Company or Organization Name

Name and Title of Person Granting Permission

__________________________

Date

Example Two: Company, Individual, or Organization Generated

Release to Publish Case

To: Editor, insert name of appropriate journal (Business Case Journal or Annual

Advances in Business Cases)

I have read the case entitled, insert “name of case”

Written by, insert name(s) of author(s)

This case is released:  without change

 with corrections as noted

If corrections are noted, I understand that a copy of the final version will be returned to

me.

Name

Address

Signature

Date

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Parent category: Legal