Disability eText Request

As an educational publisher we believe that resources should be available for the needs of all students and we endeavour to ensure students with specific requirements are not disadvantaged. It is our policy to provide electronic copies of our publications to students with specific learning requirements, provided they have met the Institution criteria for assistance and agree to the conditions of use as per below. If you are a student who has a verified disability that prevents you from using standard instructional materials, please have your Disabilities Service Coordinator or other Institution official fill out this request and agreement for the electronic file you require. We will respond as quickly as possible, but please understand that it may take 3-4 weeks to receive the electronic file.

If your request is for a US Publication please click here to go directly to the US Disability Request Form.

If you need to check if the book is a US title please email us at copyright@pearsoned.com.au.

PART 1. Our Product Information

Title
Edition
Author
ISBN
Date of textbook purchase (dd/mm/yyyy)
Location of textbook purchase

PART 2. Coordinator of Services/Responsible School Official and Academic Information

First Name
Last Name
Phone
Fax Number
Email
Instructor's Name
Course Name
Semester

PART 3. Request to Duplicate a File Previously Provided by Pearson

Although a file may have been previously provided for use by another student at your Institution, a request for use by another student must still be presented to Pearson Eduction

 Are you making this request on behalf of a centralised repository, depository, or other file storing system? Yes No   

 Has the above file been previously provided? Yes No   

If yes, date of original request (dd/mm/yy)

 Have you verified that the student or someone on his or her behalf has issued payment to the publisher equal to the cost of the print version of the textbook? Yes No   

UPON ELECTRONIC RECEIPT OF VALIDATION FROM PEARSON EDUCATION YOU ARE PERMITTED TO OBTAIN THE FILE FROM YOUR INSTITUTION’S CENTRALISED LOCATION, PROVIDED ALL CRITERIA ON THIS FORM HAVE BEEN MET.

PART 4. Student's Electronic File : Technical Information

Text Extraction File: a word processing file. If requesting a text extraction file, please specify a basic word processing program (such as Word, WordPerfect, and ASCII text) and the version of the program (Word 2000, WordPerfect 6, etc).

PDF: an Adobe® Portable Document Format (PDF) file.

Type of Electronic File		Text Extraction File PDF
Program (for text extraction) (e.g., Word, WordPerfect, ASCII)
Version (for text extraction) (e.g., Word 2000, WordPerfect 8

PART 5. Student's School Information
Name of School
School Address
City
State
Postcode
Country

PART 6. Student Information

 Files can be sent directly to a student’s preferred address, if however for reasons of privacy, files can be sent to the Institution.

Student's First Name
Student's Last Name
Student's Email OR Postal Address Where File Will Be Sent
Student's Email
Student's Address 1
Student's Address 2
City
State
Postcode
Country

PART 7. Verification and Agreement

It is a condition of the provision of these files that you verify and agree:

1. The student has purchased a printed copy of the title.
2. The student is registered to attend a course requiring the use of the Title.
3. The student has a specific learning requirement that prevents them from using the printed Title.
4. The request is made and supported by the Equity & Diversity officer or other appropriate school official.
5. The Title has been determined to be essential to the student's successful completion of the course.
6. The student and the school will not use, further distribute or copy the electronic files for the Title for any other purpose.
7. In using the electronic files provided by the Publisher, the student, the Institution, or other student official will abide by Australian Copyright Law and the applicable code of conduct and policy of the requestor's Institution.
8. Pearson Education own all rights to the Title and the electronic files for the Title, including copyright. The student and the Institution have only the right to use the electronic files for the purposes set forth in this request.
9. Pearson Education will not be responsible for any damages arising out of the use of this software including loss of data, other software problems or personal injuries.

 I verify that the above answers and verifications are complete, true and correct and that by submitting this request and receiving the requested electronic file, I am agreeing to abide by these terms.

Requester's Full Name
Title (If any)
Requester's Email
Comments
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