ILL Delivery Authorization Form

The University of Akron University Libraries

Faculty/Staff Request to have OhioLINK and Interlibrary Loan Materials Delivered to Campus Office

I authorize The University Libraries to check out OhioLINK and Interlibrary Loan materials in my name and to delivery them to my department or administrative office.

I accept responsibility for all materials charged out in my name.

Last Name _________________________, First Name ____________, Middle Initial____

Soc. Sec. _________________________ Status: ____Fac ___Staff

Department Name___________________ Dept. Phone ______________________

Building Name ______________________ Room No. ________________________

E-mail address _____________________ Home Phone ______________________

Signature __________________________ Date ___________

Use your browser's print function to print this form. Return this signed form to Bierce Library's Circulation Desk (Zip + 1706)

Library staff use:
Date Entered____________________ Initials of operator_____________________

Return to Submit a Request page

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Last update: 8/20/99

Last Name _________________________,	First Name ____________, Middle Initial____
Soc. Sec. _________________________	Status: ____Fac ___Staff
Department Name___________________		Dept. Phone ______________________
Building Name ______________________		Room No. ________________________
E-mail address _____________________		Home Phone ______________________
Signature __________________________		Date ___________