RESOURCE SHARING (INTERLIBRARY LOAN) REQUEST FORM—ARTICLE Date: _________________________________ Requestor Check One: Student Faculty Staff Admin. Name:__________________________________________________________________________ EPCC ID #:__________________________________ Dept.:________________________________ Home/Cell Phone:______________________________ Work Phone:________________________ E-mail:________________________________________ Name of Journal/Magazine/Newspaper:____________________________________________________ Title of the Article:______________________________________________________________________ Author:_______________________________________________________________________________ Volume:________ Issue Number:________ Pages:__________ Publication Date:__________________ If there is a charge to obtain the item, are you willing to pay? Yes or No (circle one) If you answered Yes: I agree to pay up to $___________ for any charges incurred. Warning Concerning Copyright Restrictions The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or reproduction that 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 copyright law. Signature:_________________________________________________ Date:______________________ FOR LIBRARY USE ONLY STATUS: Approved by Librarian:________________________________ (Signature) OCLC ALA REQUEST FORM Staff Member:_________________________________________ NOT PROCESSED Not Found on OCLC Campus:________________________________________________ Needs Information Date:___________________________________________________ (Signature) Sharedrive Forms KS 7/2012