ILL Request Form -  Library



Interlibrary Loan Request Form

Fill out one form for each interlibrary loan request.

Borrower Information

Name: *
Date: *
USP ID No.: *
Ext. No.:
Address/Dept.: *
Line 1:
Line 2:
Telephone: *
Postal address: *
Line 1:
Line 2:
Email: *

Payment Information

If paying cash at issue desk, please enter your receipt number:
Dept. Vote Code:
Name (vote code controller):
Not required after:
Is your request urgent (extra charges may apply)?
Yes
No

Use either section A to request a journal article, conference title, or symposium title, or section B to request a monograph, book, or thesis.

A. Request a Journal Article, Conference Title, or Symposium Title

Title of Journal/Conference title, Symposium Title:
Title of article:
Author of article:
Volume No.:
Issue No.:
Year:
ISSN:

B. Request a Monograph, Book or Thesis

Author(s)/ Editor:
Title:
Place of publication:
Publisher:
Year:
This edition only?
Yes
No
ISBN:
Title of chapter:
Author of Chapter:
Pages:
Copyright Declaration

1. I require this reproduction for research or private study and I will not use it for any other purpose. 

2. I have not previously been supplied with a copy of this reference.

By checking this box, I agree to the above conditions.

I agree.





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