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Change of Authorship Request Form 1

This document is a change of authorship request form for journal publications. It requests the original and proposed author lists with their details and contributions. Authors must provide an explanation for the change and sign to agree to the new authorship and reasons for change. All current authors, including those being removed or changed, must sign to approve the proposed changes.

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0% found this document useful (0 votes)
142 views2 pages

Change of Authorship Request Form 1

This document is a change of authorship request form for journal publications. It requests the original and proposed author lists with their details and contributions. Authors must provide an explanation for the change and sign to agree to the new authorship and reasons for change. All current authors, including those being removed or changed, must sign to approve the proposed changes.

Uploaded by

Chim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Change of authorship request form - Journals

Title of manuscript:

Journal Name:

Manuscript ID no.:

1. Current Authorship list, in the order shown on the manuscript. Please indicate the
corresponding author with a *

Current Author list First name(s) Family name Email address

1st author
2nd author
3rd author
4th author
5th author
6th author
Please insert new rows if needed

2. Please provide an explanation for the change in authorship (including any reasons for
removal from authorship list).

3. Proposed new authorship list (including email addresses), in the order it should appear on
the manuscript. Please indicate the corresponding author with a *

New Author list First name(s) Family name Email address Contribution of
and order authors (please see
our authorship
criteria)
1st author
2nd author
3rd author
4th author
5th author
6th author
Please insert new rows if needed

Information Classification: General


4. All authors, unchanged, new and removed must sign this declaration.

Signatures can be in the form of docu-sign, or handwritten signatures can be returned as an image
file.

Typed names in the signature box WILL NOT be accepted unless accompanied by an additional email
confirmation from that co-author agreeing to the new author list and the explanation of changes
outlined in Section 2. This email must come from the same email address assigned to that co-author
in the above sections.

Author name (first Declaration Signature (if typed Date signed


name, last name) please ensure
confirmation via
email is attached)

I agree to the new


authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.
I agree to the new
authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.
I agree to the new
authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.
I agree to the new
authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.
I agree to the new
authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.
I agree to the new
authorship list and
contributions shown
above in section 3, for
the reasons outlined
in section 2.

Information Classification: General

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