Photocopy Service Request Form
All requests are $5.00 per article, plus $.20 per page for articles over 20 pages. All incomplete
requests will be returned. Payment is due by check payable to SUNY IFR 900-401-04, State or Research Requisition, or cash or credit card payable at the Office of the Bursar.
NOTE: Requests will be processed as submitted. The Copy Service is not
responsible for errors in citations.
PHONE_______________________ E-MAIL ____________________________
JOURNAL TITLE & AUTHOR _________________________________________________________
DATE OF PUBLICATION______________________________________________
CALL NUMBER (IF KNOWN)__________________________________________
Please read and sign below:
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 materials. 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 copying order if, in its judgment, fulfillment of the order would involve violation of copyright law.
I understand that the material I request may be subject to copyright restrictions (Title 17, U.S. Code). I hereby authorize SUNY Downstate and the Medical Research Library of Brooklyn to process all requests submitted and further agree to pay all charges incurred for the service.