Lone Star College System
Interlibrary Loan Request Form    
Lone Star College faculty, staff, and students may use this form to request
materials not available in the Lone Star College online catalog.
Please fill out completely and allow up to 15 working days.
Date of Request: / /

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Name* Not Needed After* / /
Phone—1st option* ( ) - —2nd option ( ) -
College* Select College LSC-Cy Fair College LSC-Cy Fair Fairbanks Center District Services & Training Center LSC-Kingwood College LSC-Montgomery College LSC-Montgomery Conroe Center LSC-North Harris College LSC-North Harris Carver Center LSC-North Harris Parkway Center LSC-Tomball College LSC-Tomball Willow Chase Center The University Center Faculty / Staff / Student *
Email Address
* Required field.
1. Did you check the library catalog to determine whether the item is available locally?*
2. What is the maximum amount you are willing to pay? $ (Most materials are free to faculty
and students. We'll notify you prior to filling the request if the charge exceeds the maximum indicated.)

Copyright Warning: The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted materials. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specified conditions is that the photocopy or reproduction is not to be "used for any purpose other than private study, scholarship, or research." If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of "fair use," that user may be liable for copyright infringement. Lone Star Colleges reserve the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of the Copyright Law. Please acknowledge Copyright Warning by appending your library barcode*

If you need assistance completing this form, please contact your local College Librarian. For questions
and assistance AFTER SUBMISSION, please contact the Interlibrary Loan Specialist through EMAIL
or by phone at (832) 813-6647. Once the requested material has been received and placed on Hold at
your local college library; you will be notified by either email, mail or phone that the material is ready for
you to pick it up. Please allow up to 15 working days for processing.

Book, Video, CDs, DVDs, Government Document, or Eric Document Request

Title
Author
Publisher Date
Eric Document # ISBN

Periodical or Newspaper Request

Article Title
Author
Periodical Title
Date Volume # Issue # Pages ISSN