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Reserve Request Form

Please fill out this form for each item placed on reserve. Please bring your materials to the Access Services desk to be placed on reserve.

Instructor Name:

Instructor Email:

Department:

Course Name:

Course Number:

Date to be removed from Reserve:

Handling of materials when removed from reserve:

I will pick up my materials at the end of the semester.
Return my materials through inter-campus mail at the end of the semester.
Discard my materials at the end of the semester.
Return materials to the collection at the end of the semester.

Loan Period:

One hour (Library use only)
Two hours (Library use only)
Three hours (Library use only)
One day and Overnight (brought back anytime the next day)
Three days
One week

Item Information

Title:

Author:

Call Number (if from library's collection):

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.

By typing your name below, you affirm that the items submitted adhere to these copyright restrictions: