Service Forms

Main Content

Interlibrary Loan Borrowing Request Form

For: ALL UMMC

Policy: Interlibrary Loan 

The Interlibrary Loan (ILL) Department assists library users in obtaining health resources that are not available at Rowland Medical Library. ILL services are available to current UMMC faculty, staff and students. Please, check library holdings (link opens in new window) before submitting an interlibrary loan request. 

Most document delivery is provided at no charge to affiliated users. Fees may be assessed by lenders for book loans. Delivery time for materials ranges from a few days to several weeks. Sufficient time should be allowed for receipt of items.

For assistance with ILL forms and procedures, please contact the department at lib-ill@umc.edu or call 4-1247 or 4-1234.

Fill out this form completely to avoid processing and delivery delays. 

* = Required Fields

Borrower Info

Name of Borrower (UMMC only)*

Phone Number *

UMMC E-mail Address *

Position *

Dept/Division/School *

Student Status

Are you a distance education student?*

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  

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 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.