Duke University Medical Center Library Online - Reserve Article/Chapter Request Form

To submit an article or chapter for DUMC Library Reserves, please complete and submit the form below via the Web. Completed forms may also be printed and attached to reserve requests containing personal photocopies of journal articles or book chapters, which must be submitted in person or via mail (Duke Medical Center Library, Article/Chapter Reserves, DUMC Box 3702, Attention: Suzanne Jessup). Forms submitted over the Web will be retrieved once daily, Tuesday through Saturday. Please see the Faculty Submission Guidelines for processing times. If you have additional questions, please contact Suzanne Jessup at (919) 660-1100 or jessu001@mc.duke.edu.

**Course & Instructor Information (* below indicates required field)**
To submit multiple requests for the same course and instructor:
Use the back browser button to return to this page after submitting each request. All information will be retained for reuse.
Today's Date
Course Title*
Course Number*	Ex. MIC200
Term & Year*	Ex. Spring 2005
Maximum Enrollment*
Main Instructor* (ONE ONLY)
School & Department*
Instructor Duke Box #*
Instructor Phone/Pager*
Instructor Email*
Dates Needed on Reserve	through

If no removal date is provided, all materials will be removed at the end of the semester.

**Item Information**
If electronic access is denied, do you want paper copies on reserve in Library?*	Yes No
MEDLINE Unique Identifier (UI)
First Author*
Article/Chapter Title*
Journal/Book Title*
Volume/Edition*
Journal Issue*
Pages*
Publication Year*

Please read the following notice:

COPYRIGHT NOTICE: The Copyright Law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. 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. This institution reserves the right to refuse to accept a reserve request if, in its judgment, fulfillment of the order would involve a violation of the copyright law.

You must indicate that you have read the above notice. This request cannot be processed unless you click the button below.