SJU Photocopy Request Form

Patron Information

First Name:

Last Name:

Barcode (on the back of your CSB/SJU ID):

Department:

	CSB
	SJU

Phone # (and ext):

E-mail Address:

Item Information

Journal/Title:

Volume:

Number:

Date:

Pages:

Author:

Title of Article:

Copyright Compliance Statement

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials. Under certain conditions specified by law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use", that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copy order if, in its judgment, fulfillment of the order would involve violation of copyright law.

	Yes, I agree
	No, I disagree