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____
Staff ID          ________________________ 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_____________________


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Last update: 8/20/99