George F. Smith Library of the Health Sciences

Request for Journal Article or Book

University Libraries   Smith Library   Contact ILL
Please complete this form. Fields with an * must be filled.
 1.  Citation or Reference Information If you prefer, »
Journal:*
Volume:* Issue Number: Page(s):*
Date of Issue:* Author(s):*
Article Title:
PubMed ID (PMID) or Unique Identifier (UI):
 2.  Personal & Campus Information
Name (L, F):* UMDNJ ID(AID):*
Campus or Home Phone:*    Department:* 
E-Mail:*
Affiliation:* NJMS    NJDS    GSBS    SHRP    SN    SPH    UH 
Other  please specify: 
Status:* Faculty  Staff  Student  Resident/Intern  PostDoc  
Distance Ed   Other please specify: 
 Home or Campus Address:*
 3.  Article Payment
We make every effort to obtain articles free of charge. However, if we must obtain the article from an out-of state library, you may be charged $11.

If there is an article fee
 A NO, I am NOT willing to pay if there is a fee 
Note: If there is a charge for the article and you are not willing to pay, we will NOT obtain the article for you, but will call your Campus/Home phone number to follow up.
 B YES, I AM willing to pay if there is a fee. If checked YES box, choose method of payment

UMDNJ Banner Account
(Please include both Index and Fund) 		Index:   Fund: 

Cash or Check
 4.  About our Smith Library Print Journal Photocopying Service
Please note, you will be notified if the article you requested is owned or part of the UMDNJ Smith Library print holdings. A Document Delivery or InterLibrary Loan (ILL) staff member will copy the article for the cost of 25 cents per page. This fee applies to articles copied for Distance Students.
 Do you want us to copy the article for you at a cost of $0.25/pg?    Yes    No

UMDNJ Banner Account
(Please include both Index and Fund) 		Index:   Fund: 

Cash or Check
 5.  Article Delivery
held for pick up in the library?
mailed to you? List the complete mailing address to be used below.
Mailing Address: 
faxed to you at indicated fax number? Fax: 
emailed to you at indicated email?
 6.  Special Request (extra fee might apply for color copies)
Black & White      Color Copies
 7. Notice-Warning Concerning--Copyright Restrictions
The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material.
Under 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.
This institution reserves the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of the copyright law.
I understand that the material I request may be subject to copyright restrictions (Title 17, U.S. Code) and that the Library will obtain the article from a commercial service if necessary to comply with copyright law.*    Yes    No
If you have not received your request in one week please call (973)972-5319 to check status