ILL Book Request Form for UCHC Faculty, Staff & Students

• It will take at least 5 working days to fill a book request, due to mail time.
• One request per form, please. Use the BACK button to retain personal information to submit another request.
• It is not possible to borrow books on a RUSH basis.
• * fields are required

COST: $10 per transaction for faculty/staff. Books borrowed from any UConn campus will not be charged. No charge for students.

 CHARGE:
FRS Code:  Required for faculty/staff
If FRS coding is not available, please use the print form available in the library.

 DELIVERY:
Need by date: (Please enter a date only): 
Check if needed for patient care 

Name:  *
UCHC Ext:.     Email:   *   Library Barcode 
UCHC Dept:      Mail Code: 
Home Phone: 
Please Check: Faculty  Staff   Student*

 BOOK

 Book Title: 
Author or Editors: 
Publisher: 
Date of Publication: 

FOR PHOTOCOPY FROM A BOOK, PLEASE SUPPLY:

 Chapter Author: 
Chapter Title: 
Pages:

OR:  You may copy and paste from another source:

 GIVE SOURCE OF CITATION: When requesting material from another library it's helpful if we can give the source of reference-where you saw it cited. Please be as specific and complete as possible.

 Medline (UI) AN No.: 
OR:
Journal/Book/Index Title:
Book Author: 
Vol:   No:   Date:   Pgs: 

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials. 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 judgement, fulfillment of the order would involve violation of the Copyright Law.
 
 

I have read, and agree to abide by, the preceding copyright statement. *

 Before submitting your request, please check to ensure that you have filled in all the fields followed by an *. Also, take a moment to ensure that the information you are going to submit is correct.