Interlibrary Loan Request Form

Lone Star College faculty, staff, and students may use this form to request
materials not available in the Lone Star College online catalog.

Please fill out completely and allow up to 15 working days.
Date of Request: 2 / 24 / 2015

Name* Not Needed After* / /
Phone1st option* ( ) - 2nd option ( ) -
Campus* Faculty / Staff / Student *
E-mail Address
* Required field.
1. Did you check the library catalog to determine whether the item is available locally?*
2. What is the maximum amount you are willing to pay? $ (Most materials are free to faculty
and students. We'll notify you prior to filling the request if the charge exceeds the maximum indicated.)

Copyright Warning:
The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other
reproductions of copyrighted materials. 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.
Lone Star Colleges reserve the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of the Copyright Law.

Please acknowledge Copyright Warning by appending your library barcode*

If you need assistance completing this form, please contact your local College Librarian. For questions
and assistance AFTER SUBMISSION, please contact the Interlibrary Loan Specialist through e-mail
or by phone at (281) 290-3631. Once the requested material has been received and placed on Hold at
your local college library; you will be notified by either email, mail or phone that the material is ready for
you to pick it up. Please allow up to 15 working days for processing.

Book, Video, CDs, DVDs, Government Document, or Eric Document Request

Publisher Date
Eric Document # ISBN

Periodical or Newspaper Request

Article Title
Periodical Title
Date Volume # Issue # Pages ISSN