Interlibrary Loan Book Request Form

Patron Information (Required fields marked with required field)

required fieldYour first name
required fieldYour last name
required fieldStatus
Status - Other
Barcode Number (from the back of your Library/ID card)
required fieldPhone number
Day or Evening Telephone number
required fieldMailing Address (street, city, state, and zip code - faculty may give department only)
required fieldEmail address
required fieldPick-up option (please one from this list)
Not needed after this date

Book Information (Required fields marked with required field)

required fieldTitle of book (as it appears on the title page):
Author of book:
Specific edition or year needed:
Book publisher:
Source of reference (where you found the citation)
Additional comments
required fieldPlease type the two words shown in the image.
If the letters are too hard to read. Please select the REFRESH buttonrefresh button, found in this image.