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Reserve Request

Home > About the Library > Forms > Reserve Request

***** Copyright Statement *****

No further reproduction and distribution of this copy is permitted by transmission or any other means.

The user should review the copyright notice from the original work that will be included with the requested electronic copy.

Section 108: United States Copyright Law
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."

Please Note: A separate form must be filled out for each item that will be placed on reserve.

Course Name and Number
Course Call Number
Number of Students Enrolled
Professor/TA
Office Address
Phone Number
E-mail Address

Quarters Needed

Fall Winter Spring Summer

Year(s)

Material Information

Material Type

Book Article Exams Class Notes Other

Journal/ Book Title

Article/ Chapter Title

Author

Volume/Edition

Year

Page Numbers

Place Materials on

Carmen Electronic Reserve Regular Reserve(Print)

Both

I understand that the submission of this form authorizes the Prior Health Sciences Library reserve staff to access my Carmen course. This access is limited to updating my Carmen content for the sole purpose of adding the requested electronic reserve materials and activating the course if necessary.

Additional Information

Clicking "Submit Form" sends your report to Health Sciences Library staff.

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