Library Services
Department of Education, Training and the Arts
347 Old Cleveland Road, Coorparoo Q 4151
PO Box 1238, Coorparoo DC Q 4151
Telephone: (07) 3421 6511
Facsimile: (07) 3421 6522
Email: Inquiries.LIBRARY@deta.qld.gov.au
ABN: 76 337 613 647 Company Code: EDUC

Central Library photocopy request form

This form is to be used to request articles from journals held by Central Library.

Complete the form below to submit your details online. To post or fax your details to Library Services, download the Request for photocopied articles form (new window 83k).

To register as a client, borrow resources or suggest an item for purchase go back to Library Services forms.

* Denotes mandatory fields

Delivery details for all items

Name:


Surname*	Given names*	Title

School/Organisational Unit:*

Position:*

Email:*

Telephone:

Delivery:*
Post to me I will collect items from the library

Address:
Postcode:

Date required:*
When available Not required after:
From: To:

Photocopy request 1

Journal/book title:

Article/chapter title:

Author(s):

Vol:

No:

Date:

Pages:

Photocopy request 2

Journal/book title:

Article/chapter title:

Author(s):

Vol:

No:

Date:

Pages:

Photocopy request 3

Journal/book title:

Article/chapter title:

Author(s):

Vol:

No:

Date:

Pages:

Copyright declaration

Complete the declaration (choose one option only) and type your name and date.

Please make and supply to me a copy of the above article(s). Copy is required for:*

use with students or teacher professional development (e.g. classroom use or in-service for teachers).
the execution of duties as a State employee.
the purpose of personal research or study (e.g. Tertiary studies).

I have not previously been supplied with a copy by an authorised officer of the library.

Name:*

Date:*

Please remember my contact details for future requests. (Do not check this box if using a public computer and you want to keep your contact details private.)

Privacy: Personal information provided by you will be used solely for the purpose of managing resources borrowed from the library and will not be disclosed to third parties without your consent. For further information, view our privacy statement.

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Last updated: September 2008