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CERTIFICATION OF GOVERNMENT WORK
SUBJECT TO GOVERNMENT OWNERSHIP
(Such as Crown Copyright)
Select Journal
JOURNAL NAME:___________________
Notice to Authors: This form is to be used only by non-U.S authors whose work is subject to Crown copyright or similar
government ownership. A Transfer of Copyright or Certification of U.S. Government Work must be signed by all authors of a
work. Multiple forms may be used. Fill in all fields, including Journal Name, and fax this form to 617-531-2096. More
information is available in the AMS Authors' Guide in the Authors' Resource Center (ARC) of the AMS Web site. Requests for
further information may be sent via e-mail to [email protected]
Note: This form is to be used when submitting a work created by an officer or employee of the
government of any country prepared as part of his or her official duties for which copyright vests in the
government of such country.
The work entitled ______________________________________________________________________________
_____________________________________________________________________________________________,
By (list all authors) ____________________________________________________________________________
___________________________________________________________________________________________,
is hereby certified to have been prepared by an officer or employee of the government of
______________________________________, as part of his or her official duties, and therefore copyright
in this work vests with the government of __________________________________________,which
reserves its own copyright under national law. It is further certified that this work has not been previously
published, in print and/or in a digitized format (such as a web site) in any language. The author(s) of this
work agrees to promptly notify the chief editor if this work is submitted for publication, in any medium,
elsewhere before its disposition by the AMS.
Signatures must be digital or hand-written. Fill in other fields and sign.
________________________________________
_________________________________________
Signature
Signature
________________________________ _________________________________
Print Name
Print Name
________________________________ _________________________________
Title if signed by employer
Title if signed by employer
________________________________ _________________________________
Date
Date
________________________________ _________________________________
Signature
Signature
________________________________ _________________________________
Print Name
Print Name
________________________________ _________________________________
Title if signed by employer
Title if signed by employer
________________________________ _________________________________
Date
Date
[January 2014]