PLEASE TYPE ALL INFORMATION

1. Date of request. Fill in date you are submitting your request to LILRC.

2. Your request #. Libraries submitting many interlibrary loan requests often number the requests consecutively each month. Thus, "10-59" would indicate the fifty-ninth request Library X submitted to LILRC during October. Libraries making fewer requests may number consecutively through the year or may choose to omit a number.

3. Dewey No. Supply 3-digit Dewey number wherever known. This is necessary for requests submitted to NYSILL so they can be referred to appropriate subject referral library. Verification will often give Dewey number, usually supplied with LC cataloging in NUC and NST.

4. Requesting library. Name of institution submitting request. Since delivery is through LILRC driver, full mailing address is not needed.

5. Name of library user for whom request is being made. Some libraries file pending requests by name of user. Also helpful in identifying request if there is a question while it is being processed.

6. Status. Needed for determining eligibility of request for referral to NYSILL. Indicate student, faculty, professional, industry, or other.

7. Serial. Name of periodical in which needed article appears. Give name of journal as it appears in the Nassau-Suffolk Union list of Serials, Union List of Serials 3rd ed., New Serials Titles, or other standard bibliographic source. Do not use abbreviations. If not verified, give name of journal as fully as you have been able to find it.

8. Vol/issue. Indicate volume number of periodical, and issue number if known. If serial has dates but no volume number, leave space blank.

9. Date of issue in which needed article appears.

10. Pages on which article appears. If complete pagination is not known, add "+" or "to end of article" after number of beginning page, so that the person copying the article will look for a continuation and not copy only the single page cited.

11. Author of article required, including first name(s). If more than one author, give full names of two, and indicate "and others."

12. Title of article requested.

13. Verification. Please supply verification of both name of the journal and of the existence of the article in this issue of the journal cited. Standard sources for journals include union lists mentioned in #7 above. Articles can be verified in standard periodical indexes and abstracting services such as Reader's Guide, Education Index, Psychological Abstracts, Engineering Index, etc. Give full citation including volume, series, year/date, page, abstract number of verification. If request could not be verified, indicate sources checked.

If not possible to verify, indicate source of reference, such as bibliography in monograph, review article, etc. Where did the requestor see this item in print? Include author, title, publisher and date or journal title and date, and page number on which citation is found. If it is more convenient, you may supply a photocopy of the cited reference.

If impossible to verify or supply a source of reference, indicate "zz."

For LILRC use only

14. Records information regarding request forwarded to LILRC member or NYSILL or RML and awaiting response.

15. Indicates whether item has been found and delivered or request cancelled.

16. Checked to indicate by NUC symbol libraries believed to have needed item, on the basis of the Nassau-Suffolk Union List of Serials.

17. Records date due of book to be returned. Left blank in cases where photocopy has been supplied; photocopy becomes the property of the user.