Interlibrary Loan Borrowing Request Form

* = Required Fields

Borrower Info
Name of Borrower (UMMC only)*
Phone Number *	() -
UMMC E-mail Address *
Position *
Dept/Division/School *
Student Status	Post-Grad Graduate Undergraduate
Are you a distance education student?*	Yes No
Method of Payment
Rowland Medical Library provides most document delivery at no charge to affiliated users. By submitting this form, I understand that fees may apply if the lending library charges Rowland Medical Library.
Maximum amount you are willing to pay for this request * - you will only be charged actual cost
Method of Payment   Cash/Check Credit Card UMMC Charge Code Grant/Other Designated Funds If by Credit Card: If payment is required, a library staff member will contact you regarding credit card details. If by UMMC Cost Center: If by Grant/Other Designated Funds:
Loan Information
Date needed *
Delivery time for materials ranges from a few days to several weeks. Sufficient time should be allowed for receipt of items.
Cancel request if not obtained by
Please indicate the request type to proceed. *   Journal Article Book Chapter Book Loan Journal Request Journal Title Volume (Issue) Pages Year PMID # ISSN Article Author * Article Title * Book Loan Request Book / Proceedings Title * Author/Editor Volume Year ISBN Edition Place Publisher Comments Book Chapter Request Book / Proceedings Title * Author/Editor Volume Year ISBN Edition Publisher Chapter Author Chapter Title Chapter Pages Comments

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 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 request would involve violation of copyright law.