Special Materials Checkout

This form is for library staff to request special checkout for materials that normally do not circulate (such as reference books or special collections general materials).

Please Note: Special Material checkouts accrue overdue fines of $1.00 per day.
Bring a copy of this form and present to the Checkout Desk staff for checkout.

Name: *

Net ID *

Status *

Faculty

Student

Staff

Email address: *

Phone number (with area code):

Address:

Title of the material: *

Date of publication:

Call number:

Item type: *

Reference

Periodicals/Microforms

Government Information

RRC

Special Collections General Materials

Date Due: *

Approved by:

If you happen to see this, do not fill this field.