Link to Queensland Government (www.qld.gov.au)

Library Services
Department of Education and Training
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

Interlibrary loan request form

This form is to be used to request items not held by Central Library.

Complete the form below to submit your details online. To post or fax your details to Library Services, download the Interlibrary Loan request form (new window 171k ).

To register as a client, request photocopies, 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:

Form type:*
Book request Photocopy request

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

Address:
Postcode:

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

Please Note: If you are requesting a book you are required to complete fields 1, 2, 5, 6 and 8 ONLY. If you are requesting a photocopied article please complete all mandatory fields.

Resource 1

1) Author(s):*

2) Full title or source:*

3) Title of chapter/article:

4) Volume/issue no:

5) Publisher:

6) Date of publication:

7) Page number(s):

8) ISBN/ISSN:

Resource 2

1) Author(s):*

2) Full title or source:*

3) Title of chapter/article:

4) Volume/issue no:

5) Publisher:

6) Date of publication:

7) Page number(s):

8) ISBN/ISSN:

Resource 3

1) Author(s):*

2) Full title or source:*

3) Title of chapter/article:

4) Volume/issue no:

5) Publisher:

6) Date of publication:

7) Page number(s):

8) ISBN/ISSN:

Copyright declaration (applies to photocopy requests only)

Complete the declaration (choose one option only) 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

Queensland Government