Microfilm Duplication Request Form

COVID-19 Update: This service is not currently available. Contact us with questions.

Please submit a separate form for EACH title (A number) that you are requesting.

All fields must be completed. If you do not have information for a field, please type none in the box.

Microfilm Information
Enter the information that you found in the UW Microfilm Print Masters Inventory in the spaces below
Film type