US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] SCHEDULE 3: ALL AUTHORS (include Principal/Corresponding Author details; add spaces for additional authors if required) Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 8 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Wri...
US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Open, using Xxxxxxx Open’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Open’s form letter, the supplemental terms applicable to the Author.) SCHEDULE 2: ALL AUTHORS (include Corresponding Author details; add spaces for additional authors if required) NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: SCHEDULE 3: PUBLISHING
US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] SCHEDULE 2: ALL AUTHORS (include Principal/Corresponding Author details; add spaces for additional authors if required) NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: 9 [v.122016] SCHEDULE 3: PUBLISHING PUBLICATION VIA JOURNAL TITLE OF SUBSCRIPTION JOURNAL(S): Current Obesity Research & Therapy “Open Access Plus” Option If the Assignor also wishes to have the Work made available on an open access basis, the Work shall be made available on an open access basis, by Xxxxxxx Science, under the terms of the Creative Commons Attribution 4.0 International Public License CC-BY 4.0, subject to the payment of a one-off Fee of [750 USD]. Does the Assignor also require such “open access” publication, and agree to pay the applicable Fee in accordance with the terms below? [ ] YES [ ] NO Animated Abstract Option: ANIMATED VIDEO: The Animated Abstract Fee, payable in respect of the publication by Xxxxxxx Science of the
US GOVERNMENT EMPLOYEES. In lieu of the Author(s) signature in the section above, Author(s) whose work was performed within the scope of their employment with the U.S. Government must provide the signature of an authorized representative, certifying that the work is in the public domain. (If the work was performed under Government contract but the author is not a Government employee, no signature is required in this section.) I certify that the majority of the Author(s) of the manuscript cited above are employees of the U.S. Government and performed this work as part of their employment and that the paper is therefore not subject to U.S. copyright protection. However, the Author(s) acknowledge that all other provisions of this Agreement remain valid. Authorized signature and title Date CROWN COPYRIGHT: In lieu of the Author(s) signature in the sections above, non-U.S. authors who are employees of the government of Australia, Canada or the United Kingdom (“the Crown”) must provide the signature of an authorized representative of that government to certify that the Manuscript is subject to Crown copyright. The Crown grants APA a non-exclusive worldwide license to reproduce, publish, and distribute the Manuscript and prepare, publish, reproduce, and distribute derivative works based on the manuscript, in any language and any medium and format. If the foreign government requires a separate signed writing, that signed writing should be attached to this form. In the event of a conflict between the rights granted to APA in this form and the rights granted in an attached signed writing, the terms with the broadest license grant shall apply. However, the Author(s) acknowledge that all other provisions of this Agreement remain valid.
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US GOVERNMENT EMPLOYEES. A Work prepared by a U.S. government employee, as part of the employee's official duties, or which is an official U.S. Government publication is called a "U.S. Government work," and is in the public domain in the United States. In such case, the employee shall sign the certification on page 5.
US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO Type of Support Grant Number: Funds Received for Article Preparation and Reviewing : Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research:
US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Open, using Xxxxxxx Open’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Open’s form letter, the supplemental terms applicable to the Author.) SCHEDULE 2: ALL AUTHORS (include Corresponding Author details; add spaces for additional authors if required) NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: SCHEDULE 3: PUBLISHING TITLE OF PUBLICATION PLATFORM: [The Open Diabetes Journal]
US GOVERNMENT EMPLOYEES. CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] SCHEDULE 2: ALL AUTHORS (include Principal/Corresponding Author details; add spaces for additional authors if required) NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: 9 [v.122016] SCHEDULE 3: PUBLISHING PUBLICATION VIA JOURNAL TITLE OF SUBSCRIPTION JOURNAL(S): Clinical Cancer Drugs
