Interlibrary Loan Request Form for Books

Directions: Print out this form and sign it in the appropriate box. There is a $1.00 processing fee for student requests which must be paid when the form is submitted. Requests cannot be sent electronically. Please fill out the form completely. Missing data can delay your request.

* Indicates required information

Patron Information
* Name

*ID Card # (students)

* Status

*Phone #

*Email

Mailing Address or Dept.

Request Date

Book Information
* Author

*Title

*Publisher

 Pub. Date

  Edition

  Where cited?

*Signature

                 

This section for office use only.
Fee Paid?

Yes, $1.00 No, Faculty

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