OCLC Interlibrary Loan Request Form

OCLC Interlibrary Loan Request Form
Date of Request:
Patron's Name:
Home Phone:
Work Phone (if applicable):
Please provide the most complete bibliographic information as possible to enable location of the specific material you require.
Title:
Author:
Publisher:
Publication Date:
ISBN:
Edition:
ILL # :
OCLC # :
FEES (determined by OCLC fee schedule) check one & fill in appropriate amount
Personal or Student Request	Amount
CCC&TI course/departmental request	Amount
Department
Course
Budget Head Approval
The LRC employs a computerized locator service which networks most libraries in the Southeastern United States. We will do everything possible to locate your request, but fees are non-refundable.