Interlibrary Loan Request Form

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* 1. Today's Date

Date / Time

Date

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* 2. Library Card Number

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* 3. First Name

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* 4. Last Name

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* 5. Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Phone Number

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* 7. Email Address

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* 8. Preferred Library Location for Item Delivery

Arlanza Library

Arlington Library

SSgt Salvador J. Lara Casa Blanca Library

SPC. Jesus S. Duran Eastside Library

La Sierra Library

Main Library

Marcy Library

Orange Terrace Library

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* 9. Title of Requested Item

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* 10. Author of Requested Item

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* 11. Publisher of Book/Title of Periodical

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* 12. Publication Date

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* 13. The Riverside Public Library’s $2 search fee is non-refundable, and does not guarantee a request can be filled.

Yes, I agree to pay a $2.00 nonrefundable search fee if applicable

I agree to pay any additional charges imposed by the lending library up to a maximum of $

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* 14. Warning Concerning Copyright Restrictions:
The copyright law of the U.S. (Title17, US Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy is not be “used for any purpose other than private study, scholar-ship, or research.” If a user makes a request for, or later uses, a photocopy for purpose in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copy-righting order if, in its judgement, fulfillment of the order would involve violation of copyright law.

I understand the copyright restrictions

I do not understand the copyright restrictions, and would like more information.