Electronic Reserves Request Form

Instructor's Name:   
Phone Number:
Email Address: 
Today's Date: 
Date Needed By:
Course Name:
Course Number:
Department: 
NOTICE - warning of 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 invite violation of copyright law.
Journal Article Citation(s):
Book Chapter Citation(s):

For materials supplied by the instructor (lecture notes, tests, presentations) please describe the material as completely as possible. Example: "Lecture notes for 10/13/01" or "Sample Midterm Examination," etc.

Instructor's
Materials Citation(s):
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  Before clicking Submit, I certify that I have reviewed the copyright guidelines and that this request is in keeping with those guidelines.