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 Information
Course / 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 / Status

q 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 by

q  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)