Electronic ILL request Form

Provide ALL applicable information (complete information will expedite processing):

Cited In:

*Do You Still Want Material If Only Available In A Foreign Language?         Yes          No

*Cost Limit:              Free Only          $11           $20            Over $20

*Payment Method:    Department Billing COM Budget/Fund #:

                                Department Billing HMC Cost Center #:

                                Self Pay

Department to be Billed (if different from above):

*Delivery Method: Interoffice Mail Pick up at Library Email (may be limited by licensing)

Item Needed NO LATER THAN:

Comments:

NOTICE 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 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 copyright law.

*Name (Last, First):
*Department and Division:
*Phone Number:
*Mail Code/Student Box No.:
email Address:

Item Identification (UI, AN, ISBN):
*Title (Book or Journal):
Book Author/Editor:
Book Publisher/Year of Publication:
Article/Chapter Author:
Article/Chapter Title: