University Libraries Material Delivery Authorization

Personal Information

*all fields required

Name
Employee ID
Email
Office Phone
Status
Faculty
Staff
Full-Time
Part-Time

Delivery Information

Deliver to Building
Deliver to Room
Special Delivery Instructions

By electronically signing, I authorize University Libraries to check out library materials in my name. I authorize the library, its employees, and student assistants, to deliver the materials to my department or administrative office. If access to my office is restricted, I authorize materials to be delivered to a department mailbox and/or administrative assitant. I accept responsibility for all materials checked out in my name.

Signature
Submit