Multiple Format Request
The service cannot guarantee a completion date for your materials to be picked up.
The material will be processed on a first-come, first serve basis.
PART I: General Information
Date material submitted: ______Student Number: ______
Name: ______Email: ______
PART II: Document InformationCourse / Lecture Section / Instructor
Title: / Edition:
This text is a: r Required text r Optional text*
(*Where possible, we will make every effort to provide optional course materials, however required texts will always take priority)
Page/Chapter Range Requested: r entire text r specify page/chapter range:
Publisher: / Author: / ISBN:
Receipt Attached:
r Yes r No
If not attached, why not: / Copy of Course Syllabus:
q Attached q To follow / I am submitting this form to:
q have the material scanned
or the e-text sent from the publisher
q have the binding removed and the book rebound as per the specified tabs (no scanning or e-text required)
Alternate Format: Please indicate your preferred format for the scanned materials. q KESI q PDF
Date Required:
If you need to utilize this material for an upcoming test or assignment, please indicate the date by which you require the material. Date: ______q As soon as possible
If we cannot meet this deadline the material will be returned to you in the original format you provided.
(INTERNAL USE ONLY)
PART III: Work Progress Checklist
q Multiple format contract complete (If no, notify your supervisor)
q Check AccessAbility Services bibliography at UTSC to determine if copy is already available
q Document available? q Yes q No If yes, burn 2nd copy and proceed to steps “Scanning Progress Log”
If no, proceed to next step.
q Check St. George and UTM’s E-Text Scans List to determine if a copy is already available
r Document Available? q Yes q No If yes, proceed to “Document and Notification”
If no, proceed to “Check ACE Portal”
r Request for copy emailed to St. George or UTM with format:____/____/____ (mm/dd/yy)
ACE Portal
q Check Ace portal
r Document Available? q Yes q No If yes, send email with token to student.
If no, proceed to the next step.
q Check Library Catalogues
q Document Available? q Yes q No If yes, email Katya with information If no, proceed with original procedure (publisher Request)
q Email Katya q Yes:____/____/____ (mm/dd/yy) q No, Reason: ______
q Student notified that document is available on portal on:___/____/____ (mm/dd/yy).
Publisher Request
q Check history with publisher: (e.g. if a previous contract allows for reproduced copies)
Comments: ______
If a contract allows for reproduction of copies, attach contract with terms highlighted and proceed to “Documenting and Notification”.
q Request to publisher made q Yes:____/____/____ (mm/dd/yy) q No, Reason: ______
If yes, attach a copy of request (e.g. copy of email/request form) and use the chart below to document progress.
Date / Statusq Received product from publisher? q Yes: ____/____/____ (mm/dd/yy) q No
If yes, proceed to steps below “Scanning Progress Log”.
If no, proceed to “Scanning Document”. Comments: (include reason for not receiving copy or reason for proceeding before hearing back from publisher) ______
Scanning Document
q Binding removal
o Brought to Printing Services on:____/____/____ (mm/dd/yy) by ______(initial)
o Picked up on:____/____/____ (mm/dd/yy) by ______(initial)
Scanning Progress Log (Reminder: Please scan 1 chapter at a time and save as individual files)
Date / Page Range/Chpt. Scanned / Details / Processed byq Copyright Scan Page 2010 inserted at the beginning of each chapter/file
Documentation and Notification
For the following steps, if document was acquired from the publisher, only save document on 2 CDs if the publisher allows us to make more than one copy of the document. Otherwise, only save on 1 CD for the student and do not include the document in our library.
q Final product checked for accuracy and document saved to two CDs
q Bibliographic references○ Input bibliographic information to spreadsheet
○ Modified bibliography printed on both CD labels (Title, Edition, Author [last name], Year)
q 1 CD placed in Multiple Format Library (if permitted by publisher)
q 1 CD and Multiple Format memo placed in Multiple Format Completed folder on:____/____/____ (mm/dd/yy)
q Rebind original document (if text was scanned)
o Dropped off to Printing Services on:____/____/____ (mm/dd/yy) ______(initial)
o Picked up on from Printing Services:____/____/____ (mm/dd/yy) ______(initial)
q Student notified that original document can be can be picked up via Multiple Format Memo and/or email on:___/____/____ (mm/dd/yy).
q Student picked up original document ____/_____/____ (mm/dd/yy) Staff / WS initials ______.
q Student picked up scanned/E-text ____/_____/____ (mm/dd/yy) Staff / WS initials ______.
q Scanned document deleted from hard drive:____/____/____ (mm/dd/yy) by ______(initial)