Thank you for your interest in reprinting material created by Caregiver Action Network (formerly National Family Caregivers Association). Your request for reprint permission will be considered upon receipt of this form.

For non-profit organizations only, CAN may choose to waive its licensing fees for posting our content to other websites.

For materials to appear in printed format: Upon CAN approval of this application, you will be granted one time non-exclusive North American rights to reprint the item specified above.

All material must appear exactly as originally printed unless approved in writing by CAN. If the material is to appear within another article, or as a shortened version of the original, CAN must see how the material is to be used before we can consider your request. We want our information to reach the widest audience possible, but we also want to make sure that it is being communicated as intended.

Credit line must read: Reprinted from CaregiverAction.org by permission of Caregiver Action Network, the nation's leading organization for all family caregivers. www.CaregiverAction.org

CAN must receive a complimentary copy of the publication containing the reprinted material.

For materials to appear in electronic format: Upon CAN approval of this application, you will be granted permission to keep specified CAN content on your website for a period not to exceed 6 months. NOTE: For non-profit organizations only, CAN may choose to waive its licensing fees for posting our content to other websites.

As noted above, material must appear exactly as originally published on CaregiverAction.org unless approved in advance in writing.

Credit line must read: Reprinted from CaregiverAction.org by permission of Caregiver Action Network, the nation's leading organization for all family caregivers. www.CaregiverAction.org (must be hyperlink)

CAN must be informed when the material is up on your website.

BY SUBMITTING THIS FORM YOU ARE AGREEING TO ABIDE BY THE CONDITIONS OF THE ABOVE AGREEMENT.