Requesting Permissions for Copyright

Fill out the form below if you would like to reproduce, modify, translate or adapt content, images, graphs or charts contained in our resources.

Complete a separate form for each of the resources that you wish to reproduce, modify, translate or adapt.

Contact Information

Name

Organization/Affiliation

Phone

City

Province

CCSA Material to be Reproduced, Translated or Adapted

Title of Publication

Publication Date

Page number(s)

Details About Your Request

Let us know how you learned about the resource(s) in this copyright request, for example, was it:

During a CCSA event or meeting

Found on a CCSA website

Provided as a referral from CCSA staff

From a reference in a publication

Found on a partner website

Found within a Web search result

Other…

Other

Please provide information, such as event name and date

Please provide details, such as title of publication

Which CCSA website?

www.ccsa.ca

competencies.ccsa.ca

csuch.ca

drinklesslivemore.ca

gamblingguidelines.ca

issuesofsubstance.ca

thehighwayhome.ca

Permission is Requested to

Reproduce

Number of copies

Adapt

Describe how the material is to be distributed and/or adapted

Add your logo and URL to Canada’s Guidance on Alcohol and Health brochure

Organization Logo

Attach logo as EPS, SVG, or high-resolution JPG file.
One file only.
32 MB limit.
Allowed types: jpg, jpeg, eps, svg.

Organization URL

Translate

Specify language(s)

Include in a custom courseware package

Course and program name

Comments

I agree to provide the information requested on this form and I understand that (i) it is being collected for the purpose of responding to my copyright query, (ii) CCSA may follow up with me in the future to gather additional information about this request for analytics purposes, and (iii) any personal information or comments I provide will be protected under the provisions of the CCSA Website Privacy Notice.

Browse the CCSA Network of Websites

Heading CCSA's Issues of Substance Conference

Heading Canadian Substance Use Costs and Harms

Heading Workforce Competencies

Heading Drink Less Live More

Heading Lower Risk Gambling Guidelines

Heading The Highway Home

Heading

CCSA's Issues of Substance Conference

Heading

Canadian Substance Use Costs and Harms

Heading

Workforce Competencies

Heading

Drink Less Live More

Heading

Lower Risk Gambling Guidelines

Heading

The Highway Home