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Charlotte Edwards Maguire Medical Library 

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Inter-Library Loan Request Form

  Section 1: Requester Information
- FSU College of Medicine Students, Faculty, and Staff ONLY -
Please provide the following information:
(* required information)
Name*:
Address:
City:
State:
ZIP Code:
Phone:
E-mail*:
 
What is your affiliation and location at the FSU College of Medicine?
Student
Faculty
Staff 		FSU Main Campus
Daytona RMC
Ft. Pierce RMC
Orlando RMC
Pensacola RMC
Sarasota RMC
Tallahassee RMC

  Section 2: Requested Item's Information
Please provide as much information as possible.
(It's ok to copy/paste from another source.)
Author(s); Book/Article Title; Journal Name; Publisher; Place Published; Date Published, Edition/Vol #; ISBN

  Section 3: Additional Information
Any additional information? Where did you hear about this reference?
Do you prefer fax or U.S. Mail over email for delivery? If so, please tell us and add your fax number or mailing address.
When do you need this item by?
Whenever I can get it
I need it by
Confirmation Code:* Type the code in the space provided and click
on "Submit Form" to send your request.
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