JCLRC -- Article/Photocopy Interlibrary Loan Request Form

Please fill out this form completely and DO NOT ABBREVIATE. Requests with incomplete information will not be processed.

Periodical Title

Please indicate the complete citation source (Where did you find this?). Be specific- give the name of the database, book, website url, etc. where the citation was found.

Where did you find it?

Here is an example:
(Author) Deacon, Harriet, (Title of Article) Health, Power and Politics in Windhoek, Namibia, 1915-1945 (Periodical Title) Bulletin of the History of Medicine – (Volume No.) Volume 78, (Issue No.) Number 4, (Date) Winter 2004, (Page No.) pp. 916-917

Volume Number:

Issue Number:

Date:

Pages:

Title of Article

Author of Article:

Item needed BEFORE date:

OCLC Accession Number Available for WorldCat: (optional but helpful)

ISSN availble from many databases (optional but helpful)

We will attempt to locate a copy of your article at a library which does not charge lending fees. However, if the lending library does charge a fee (generally $10-$25) what is the maximum amount you are willing to pay?

Check this box if you are unwilling to pay any fees for this interlibrary loan.

Is there anything else you would like us to know about your article or journal?

Borrower's Name:

Today's Date:

Borrower's ID (Last four digits of your "900 number"):

Borrower's Day Time Phone Number:

Borrower Status:
Student: Faculty: Staff:

Email:

PLEASE READ AND SIGN THE WARNING CONCERNING COPYRIGHT RESTRICTIONS

The copyright law of the United States (Title 17, U.S. Code) governs the making of photocopies or other reproductions of copyright material.

Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be used for any purpose other than private study, scholarship or research. If a user makes a request for, or later uses a photocopy or reproduction 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.

This is to certify that I have read the above notice.