Intercampus Article Request Form

for Staff (Staff employed at a University of Tasmania Campus)

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Personal Details
Your name:	*
Staff ID	*
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E-mail address:	*
Box Number (for delivery):	*

Item Details

Type in the details of the Item below:

Location Where Item is Held

Call Number:

Title of Article:

Author of Article:

Pages Required (eg 10-23)

Details of the Publication containing the Item:

Title of Journal:


	Volume no.:	Issue no.:	Year:

Delivery Details
Delivery options depend on the campus where the item is held. Choose from the drop down menu for the appropriate options:
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Additional Information
Date item not required after:

Additional information or comments:

This request is made pursuant to the Copyright Act 1968. I declare that any copy requested is required for the purposes of research or study, will not be used for any other purpose, and has not previously been supplied to me by the Library.

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Intercampus Article Request Form

for Staff (Staff employed at a University of Tasmania Campus)

Personal Details

Item Details

Delivery Details

Additional Information