ILL Request Form for UCHC Faculty and Staff - Journal Article Request

It will take approximately 2+ working days to fill a request. One request per form, please.

If you prefer, you may submit your feedback via e-mail. Either way, your feedback is greatly appreciated.

COST: 25 requests per year, per faculty/staff - no charge. $10 per request after 25 free.

FOAPAL Code (Only needed after 25 free.):
If FOAPAL coding is not available, please use the printed form available in the library.

Need by date: (Please enter a date only):
Check if needed for patient care
Please check one: Will pick up in library Mail to me at address below PDF via Internet (when possible), e-mail address required

Name: *

UCHC Ext. *    Library Barcode:

UCHC Dept: *    Mail Code: *


Home Phone:

Please Check: Faculty     Staff *


Journal Title:

VOL/NO:    Year:    Pages:

Author of Article:

Title of Article:

OR: Copy and paste from another document (such as PubMed) to this box:

GIVE SOURCE OF CITATION: It is impossible for us to request material from another library without giving the source of reference where you saw it cited. Please be as specific and complete as possible.

Medline (UI) AN No.:
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 t he 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 and complete.

Interlibrary Loan Department