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Interlibrary Loan / Document Delivery Request

Please ensure that you have read the Library Guide to Interlibrary Loans and Document Delivery.

NOTE: A new form must be completed for each request. Mandatory fields are marked *.


Contact Details

* Name:

* ID:

* Email:

Mailing Address (if applicable):

* Telephone:

* Status:

Discipline:
Others (if applicable, Other University Division or Centre):
Research Fund Code (if applicable):

Client Payment (Undergraduate, Grad Dip, Grad Cert and Affiliates)
If you chose Other in the Status question above, please check the payment box below.
By submitting this form I agree to pay the costs Link to information on Document Delivery charges  incurred in obtaining this item as per the Library's Interlibrary Loans/Document Delivery Policy.


Request Details

* My Request is for:

Author(s):

Title:

Title / Author of Chapter:

Title of Journal Article:

Journal Volume:

Journal Issue:

Pages to be Copied:

Year of Publication:

ISSN / ISBN:

Place of Publication:

Institution (Institution where thesis submitted):

Copyright Declaration for Articles, Chapters and Conference Papers 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 above 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.

  •  

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.


Service Required

Please refer to the Library's Interlibrary Loans / Document Delivery page for information on charges and service levels.

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Special Instructions

Cancel Request (if not supplied by this date):


Delivery options for Journal Articles only

For Staff:

For Students:

Other Comments:

 

    

 
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