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 402-471-4016 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
*State Employee Address
*City		NE	*Zip
*State Employee Phone Number	1 - - - Ext.
State Employee Fax Number	1 - - -
*State Employee Email Address
*State Employee's Name:
Date not needed after:
*Format:	Book Periodical VHS/DVD Audiocassette/AudioCD

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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
	Accession / OCLC#	(if known)

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 of a book please note how many.)

Subject Request: (please submit one request per item)

Age Level: Children Young Adult Adult Any Level