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Inter-Library Loan Request

Use this form to request photocopies of journal articles from regional or national libraries or for inter-library book loans. Please allow at least five working days for document supply.

Due to copyright law there may be a restriction to the number of articles which can be obtained from any single issue of a journal.

Please note that this service is only to be used to obtain work-related copies or loans.

Sections coloured  red  must be completed.

Name:
Department:
Contact no:
Email:
Date needed by:

I will collect item(s) from the hospital library

Send to:

Employer: IH SMHP NHS Suffolk Other:
Staff Group:

Dr: Career Training GP GDP
Nurse/Midwife AHP/HCS Admin/Manager
Other:

Journal name
First author

Year/
Volume/
Part
Pages
Title of article (first few words)
Title of article (first few words)
Author of book
Title and edition

Year of publication

Chapter/ Pages
Payment:

Personal Department
Please ensure that you have your department's permission to charge them for this service.
Department name:

Copyright Declaration
In accordance with the current copyright act, I declare that the articles requested are for private research, for non-commercial purpose, or study and I will not supply a copy to any other person. I have not been supplied with this material before by any other library. To the best of my knowledge no other person with whom I work or study has made, or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose. I understand that if this declaration is false then I am liable for infringement of copyright as if I had made the copies myself.
Name: Date:
All information will be held in accordance with the 1998 Data Protection Act.
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