LSC-O Library - Interlibrary Loan Request Form

	Date of Request
	Your Name
	Address (Street, City, State and Zip)
	Home Phone
	Work Phone
	Date Needed By
Item requested is a book or an article?	Book Article
	Title of Book, Magazine, Newspaper or Journal
	Author of Book or Article
	Title of Article (if applicable)
	Volume (if applicable)
	Number (if applicable)
	Pages (if applicable)
	Publication: Year for Books; MM/DD/YY for Articles
	Source of Reference Material (if applicable)
Note: It may take approximately 1-2 weeks for this request to arrive.