Interlibrary Loan Request

This form is intended only for requests for materials you cannot find in the Lewis and Clark Library System. Make sure to check our online catalog for the item you are requesting before submitting this form.

Interlibrary Loan Policy

1. A maximum of 6 requests at any time.  A request is considered active from the time it is initiated until three days after the material is returned.
2. The library is unable to borrow bound periodicals (magazines), but will request photocopies on microfilm.  An accurate citation is required before the request can be made.
3. ILL cannot borrow items printed before 1800.  We will try to borrow these materials in reprint or microform, if available.
4. Patrons owing fines of $5.00 or more and/or lost materials may not request interlibrary loans until the fines have been reduced, a payment plan is in place, and/or the lost materials are cleared.  The library will not process ILL requests for patrons with overdue ILL materials.
5. I understand materials must be returned by their due date to avoid late charges.  Some materials can be renewed and some cannot; make sure you use the checkout period wisely.
6. The library will request spoken word audio, including language instruction on tape or CD, as well as movies on VHS or DVD, and music on CD or cassette.
7. Copyright laws apply to all interlibrary loans.

New Fee Policy

1. Postage Fees:  There will be a minimum charge of $2.00 for each item shipped via the US Postal Service.  Any additional postage charges will also be passed on to the patron.
2. Lending Library Fees:  The library will always try to borrow items from libraries that lend free of charge.  If a free source is not available, the patron will be required to pay the charges. 

General Information

First Name

Last Name

Library Card Number

E-mail

Phone / Fax (incl. area code)

Date of Request (mm/dd/yyyy)

-- 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

I'd like to pick this item up at:

Belleville Main Library
Belleville West Branch Library

Kind of material:

Book
Magazine/Newspaper
Video
DVD
Audiotape
Audio CD
CD
Other

Title

Author/Artist

Publisher/Publication Date

ISBN#/OCLC# (if known)

For Newspapers or Magazines

If you are requesting a magazine or newspaper article...

Newspaper or Magazine Title

Title of the article

Date/Volume

Volume Number/Issue Number/Page Numbers

Additional Notes

Please include any additional information that will help us to find this item for you.

I need this item by

Specify date: mm/dd/yyyy

-- 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 / -- January February March April May June July August September October November December / -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Anytime is fine

Postal Fees Agreement

Please read regarding possible postage fees:

I will not pay a postage fee. Do not borrow materials if only available outside of the courier-served area.
I agree to pay the minimum postage fee of $3.00 and/or the maximum charged by the U.S. Postal Service, if the material requested is only available from a library outside of Illinois.