RESOURCE SHARING (INTERLIBRARY LOAN) REQUEST FORM—ARTICLE

advertisement
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
Download