Interlibrary Loan Request Form

(For all types of materials - books, journals, dissertations, etc.)

Interlibrary Loan Policy

Please submit the following information:

Last Name:
First Name & Initial
Address (Street):
City, State, Zip:
Campus Box:
Work Phone:
Home Phone:
E-mail Address:
Dept. Acc. No.:
I.D. No. :
Status:

Please Do Not Abbreviate:

Author(s):
Title (Book/Article/Diss.):
Publisher (Books/Diss. only):
Date (Books/Diss. only):
Source (Journal/Magazine):
Vol.:
Number:
Date:
Pages:
Needed Before:

WARNING
COPYRIGHT RESTRICTIONS

The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproduction of copyrighted materials. Under certain conditions specified in the law, libraries and archives are authorized to furnish a copy or other reproduction. One of these specified conditions is that the photocopy of reproductions is not to be "used for any purpose other than uses, a photocopy or reproduction is not for purposes in excess of ""fair use," that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order, if in its judgment, fulfillment of the order would involve violation of the copyright law.

Please sign below to indicate you have read and understood this statement.
(By signing you also agree to assume the responsibility for all charges incurred.)

Please Sign Your Name Here:

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