Other Document Request Form

Please fill out this form as completely as possible. If you need help, please contact Document Delivery at library@fhcrc.org , or x6852.

Do not use this form for RUSH requests, instead call 667-6852.

Your name: Required

Department:    FHCRC SCCA Required

Mailstop: Required        Phone no.: Required
Photocopy budget no.: Required   Fax no.:

Email address: Required

The date this item is needed by: Required

How would you like the item delivered? Required

Please fill in as much information as you have.

Title: Required

Author/editor:

Please include all pertinent information you may have (format, year, publisher, director or producer, pages, etc.):

Where did you find this? (This helps us if we have a problem with the above.)

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.

Do you agree to the above copyright warning?

Yes, I agree. Required