Library Service Request Form

Off Campus and Flexible Learning Library Service Request Form

Before submitting a request students must register with the Library by submitting an online registration form or by completing a registration form obtained from the Library's Information and Loans Desk.

Students must quote their Service Registration Number when submitting a request.

Contact Details

Name (*) :

ID Number (*) :

Service Registration Number (*) :

Email address (*) :

Postal Address (*) :

Telephone (*) :

Status (*) :

My request is for
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Author :

Title of book/journal/thesis etc :

Library Call Number :

Title/author of chapter :

Title of journal article :

Journal volume :

Journal issue :

Pages to be copied :

Year of publication :

Special instructions

Please cancel this request if not supplied by :

Please deliver copies by :

Other instructions / Comments :

I give permission for items delivered by courier to be left at my residence if I am not at home when delivered. 

Copyright Declaration (copies only)

Declaration as required under s49 (1) of the Copyright Act 1968 as amended

I understand that all documents requested by me electronically through the Document Delivery Unit of the University of Canberra are subject to copyright restrictions, as per the Australian Copyright Act 1968, S49 (1). I agree to abide by the regulations of the Act for all such items.

I request a copy of the article or work specified below and hereby declare that:

I require the copy for the purpose of research or study and will not use it for any other purpose

I have not previously been supplied with a copy of the same work or part of the work included in this order

I agree to accept responsibility for the use made of the copy.

I agree to comply with this copyright declaration 

The information on this form is needed to create a document delivery record for the Library. The information will not be used for other purposes or transmitted to other parties not involved in this service. Forms are archived to satisfy the requirements of the Copyright Act 1968 (Cwth) as amended, and are subject to external audit.