Faculty Borrowing Non-Circulating Bound Journal 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 ulrefer@case.edu.  KSL reserves the right to limit the number of iyems retrieved per day for a requestor based on time and staffing constraints. Also, please review the borrowing policy.

Borrower Information:

Name: 

Campus Address:  

Campus Phone Number: 

Fax Number:  

Home Address:  

City:   State:   Zip:  

Email Address:  

Department:   

Journal:

Title:  

Volumes:  

Years:  

ISSN or OCLC No.:  

Location:  

Additional Comments: