Release and Authorization to Use Name in Book to be Published

The following form authorizes an author to use the names of specific people in the author's autobiography. The phrase derivative work as used in this form refers to a work based upon one or more preexisting works, such as a translation, musical arrangement, dramatization, fictionalization, motion picture version, sound recording, art reproduction, abridgment, condensation, or any other form in which a work may be recast, transformed, or adapted.