LANCASTERUNIVERSITY LIBRARY SCAN/PHOTOCOPY REQUEST FORM

REQUEST FOR: JOURNAL/BOOK CHAPTER

BLOCK LETTERS PLEASE: Please complete all sections if possible

TITLE OF
JOURNAL/BOOK
For JOURNALS / Year / Vol / Part
For BOOKS / Author
Year / Vol / Edition / This edition required? YES / NO
Publisher / Place of Publication
ISBN
Author(s) of article or chapter (if applicable) / Pages
Title of article or chapter (if applicable)
Source of reference:
NAME (Prof./Dr/Mr/Ms/Mrs/Miss)
Staff/PG/UG (delete where applicable) / UNIVERSITY CARD NO:
Please supply: PHOTOCOPY SCAN
ADDRESS TO WHICH PHOTOCOPIES SHOULD BE SENT / LANCASTER UNIVERSITY EMAIL (scanned articles will be sent to this address):

COPYRIGHT DECLARATION FORM

Please supply me with a copy of the item specified, required by me for the purposes of non-commercial research or private study.

I declare that:

  1. I have not previously been supplied with a copy of the same material by you or by any other librarian;
  2. I will not use the copy except for research for a non-commercial purpose or private study and will not supply the copy to any other person; and
  3. to the best of my knowledge, no other person with whom I work or study has made, or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose;
  4. If this item is delivered by an electronic method (which includes facsimile transmission), I will retain only a single paper copy and delete any electronic copies after printing.
  5. I will make no further printed or electronic copies.

I understand that if this declaration is false in any material particular, the copy supplied by you will be an infringing copy and that I shall be liable for infringement of copyright as if I had made it myself.

Signature……………………………………………………………………… Date………………………….

(This must be the personal signature of the person making the request)

The Copyright, Designs and Patents Act 1988

require such a declaration before any photocopy or scan is supplied.