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Nebraska Library Commission Interlibrary Loan Request Form

This form is for use by Nebraska State Employees. Please fill out a form for each item you are requesting and submit. The Nebraska Library Commission's Interlibrary Loan policy can be found at nlc.nebraska.gov/ILL. If you have questions, please call the Reference Desk at 402-471-2045 or 800-307-2665 (NE only) or e-mail: Information Services Team. If the item you are requesting is less than one year old, we will not be able to request it as most libraries are unwilling to lend newer materials. 

Borrower Information (Items with * are required)

Remember my name/address

*Nebraska State Employee Making Request
*Agency/Department
*State Employee Address
*City		NE	*Zip
*State Employee Phone Number	1 - - - Ext.
*State Employee Email Address
*State Employee's Name:
*Format:	Book Article/Periodical DVD/VHS AudioCD/Audiocassette

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Book/Videotape/Audiotape/CD/DVD Request   (+ Required Fields)

+	Preferred Format	VHS    DVD    No Preference
+	Preferred Format	Audio Cassette    Audio CD    No Preference
+	Title
+	Author
	Publisher
	Date Published	(we cannot request items published in the last 12 months)
	ISBN
	OCLC Accession No.	(as found in OCLC WorldCat, a NebraskAccess database)
	Print Size:	Regular Print    Large Print
	Other Editions OK?:	Yes, any edition    No, only this edition
		If you select Yes, we will request the easiest-to-obtain edition of this title/author. We recommend this choice. If you select No, we will only request the edition you have specified. This may delay delivery time

Periodical Request (~ Required for Periodical request)

~	Periodical Title
~	Article Title
~	Article Author
	Volume	Issue Number          Pages
~	Periodical Date	ISSN:

Additional Information: (If you need multiple copies, please tell us that here--for example, "We want three books total".)

Subject Request: (please contact us at Information Services Team if you need help finding materials to request)

Citation Source: Library Staff    Patron    Double-checked in WorldCat    Double-checked elsewhere