Faculty Borrowing Non-Circulating Book Request Form

Please fill out the following form as completely as possible.  Bold fields are required.  If you need assistance, please contact the Reference Desk at 216-368-6596 or email askalibrarian@case.edu.  Also, please review the borrowing policy.

Borrower Information:

Name: 

Campus Address:  

Campus Phone Number: 

Fax Number:  

Home Address:  

City:   State:   Zip:  

Email Address:  

Department:   

Book:

Call Number or SuDoc Number:  

Author:  

Title:  

Publisher:  (Place, Name, Date):  

Volume Number:   Edition:  

ISBN, OCLC, etc.:  

Additional Information:  

Source:   

Additional Comments: