Interlibrary Loan Form

LBCC INTERLIBRARY LOAN REQUEST
Please use a separate form for each item. Please fill out either book order or periodical order, not both. Please call the
Interlibrary loan desk at 917-4642 if you have questions. Limit five requests per week. No current LBCC textbooks will be
received through the interlibrary loan service. Thank you.
DATE: ___________ LBCC Student or Staff: yes □ no □
Name:_________________________________________ e-mail:____________________________
Mailing Address:___________________________________________________________________
City, State, Zip:_____________________________________Phone/Ext.______________________
Title of Book:________________________________________________________________
Author:___________________________________Year (or possible years):_______________
Publisher:_________________________________ Edition:____________________________
ISBN#:___________________________________
Where did you get this information?______________________________________________
Title of periodical:_____________________________________________________________
Article title:__________________________________________________________________
____________________________________________________________________________
Article author:____________________________ISSN#:______________________________
Vol:________Issue or #:__________Date:_____________Page(s):_____________________
Where did you get this information?______________________________________________
If available, would you prefer to receive this as an electronic file? Yes____ No_____
FOR LIBRARY USE ONLY
DATE DUE: ILL #: NOTES: INSTITUTE:
REQUESTED: RECEIVED: RETURNED: OCLC STRING:
_____,_____,_____,_____,_____
Rev. 10/09

Rev. 10/09