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• Book Inter-Library Loan Request Online Form

Book ILL Request Form

The online request service is available to members of the Health Library and the Faculty of Health, Keele University.

Before you complete the request form, please follow these instructions carefully, or there may be a delay in fulfilling your request.

• Please check the catalogue prior to request.
• Please enter as much information as you can. The following fields are mandatory and the form can not be submitted unless they are completed:

* Your name  * Your library card number  * Your email address  * Organisation  * Confirm payment

• The more information you supply us with, the quicker we can complete your request.

• Copyright Note ** Due to copyright restrictions, we can not supply you with your requested copied sections of printed text until we have a signed copyright declaration form. For this reason, you must come in to the library to sign the form when you collect your requests. Therefore requests received via this form can not be posted, faxed or emailed to you. **

• If you want to be notified of the arrival of your request by telephone please remember to include a phone or bleep number, otherwise notifications will be by email.

There are loan request and renewal charges for this service:

• NHS Users - £2 per loan request; £2 per renewal if the item is from the British Library
• Retired NHS staff or Non NHS staff working with the NHS  -£ 10 per loan request from the British Library, £2 per loan request from other libraries; £4 per renewal if the item is from the British Library
• Keele Users - £10 per loan request from the British Library, £2 per loan request if available from another NHS library in the Region; £4 per renewal if the item is from the British Library.

All forms must be signed and requests paid for before the item can be collected.

Item Details

Item details

Author / Editor(s)
Title
Edition		Publisher		Year
ISBN
If you only need a copy of a section from the above, please give details:
Pages required:		Author of section
Section title:

Your Details

Your details

Your name*		Library card no*
Email*		Tel/bleep
Organisation*	Select your organisation Keele University Combined Healthcare NHS Trust North Staffs Clinical Commissioning Group Staffordshire and Stoke-on-Trent Partnership Trust Stoke on Trent Clinical Commissioning Group Stoke Public Health University Hospital of North Staffordshire Other	Dept/School
Please confirm payment category*:
Confirm Payment I am employed by the NHS (North Staffs) and will pay £2 on collection I am with Keele and will pay £10 lending fee on collection I am with Keele and will pay £6 section photocopy fee on collection Please add this charge to my departmental account I am a retired NHS staff member; I will pay lending fee, £10 for British Library or £2 for others I am a retired NHS staff member, please cancel the request if only available at the British Library I am non NHS staff working with the NHS; I will pay lending fee, £10 for British Library or £2 for others I am non NHS staff working with the NHS, please cancel the request if only available at the British Library
* denotes a mandatory field

In submitting this request you will be making the following copyright declaration:

COPYRIGHT DECLARATION: I declare that: (a) I have not previously been supplied with a copy of the same material by you or any other librarian; (b) I will not use the copy except for research for a non-commercial purpose or private study and will not supply a copy of it to any other person; (c) 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. I understand that if this declaration is false in a material particular, the copy supplied to me by you will be an infringing copy, and that I shall be liable for infringement of copyright as if I had made the copy myself.

To be completed on collection:

Please note that all item requests require a signed copyright declaration from the person making the request. Therefore, you will have to collect the item and sign in person as the signature on the declaration must be that of the individual named on the request form.