SCAN & DELIVER REQUEST FORM
FOR HEALTH CENTER FACULTY, STAFF AND STUDENTS
UCHC Mail Code 4003
Library staff will photocopy health-related journal articles from
the UCHC Library collection QUICKLY and EFFICIENTLY. You may request
OVERNIGHT service with delivery available the next day Monday through
Thursday or SAME DAY-RUSH service if the request is received by 2pm,
Monday through Friday.
OVERNIGHT SERVICE ($3)___ SAME-DAY-RUSH SERVICE ($5)___ (After 25 requests, ILL + Scan & Deliver)
Check enclosed payable to UCHC Library __
Department FOAPAL Coding:________________________________
Master Card / Visa Account (min. $3) Expiration Date
UCHC Mail Code/mailing address_______________________________________
___I'll pick up the article(s) at the Library Circulation Desk
___Mail to me at the UCHC or mailing address given above.
___PDF via Internet (when possible), e-mail address required
IF WE DON'T HAVE IT : We'll get the article for you from another library. This Interlibrary Loan usually takes 2 working days. ___yes ___no ($10 charge for ILLs if over the limit of 25 at no charge / fiscal year.)
Author of article___________________________________________
Title of article______________________________________________________
LIBRARY STAFF USE ONLY
WARNING CONCERNING COPYRIGHT RESTRICTIONS
The copyright law of the United States (Title 17, US 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 copy-right 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.
DATE RECEIVED____________ DATE COPIED_____________