Photocopy Request Form

NOTE: This form is for originals up to 11" x 17" only, copied on standard white paper.

For larger items such as architectural drawings, please see Photocopying maps, architectural drawings and oversized graphic materials.

Reproduction Price List (PDF)

Request Form

Your Contact Information

*required

Name*:

Email*:

Mailing address or Campus Mail Box*:

City, State*

Postal Code*

Phone number*

Bill to UW budget
Account # and name:

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 material. 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 use makes a request for, or later uses, a photocopy or reproduction 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 have read the conditions under which the material to be copied is made available to me by the University of Washington Libraries' Special Collections Division. I agree to abide by them and pay for the production and handling of the photocopies. Further, I agree to publish or digitize no portion of these materials without the permission of the author or his/her legal representative and the head of the Division.

By checking this box and submitting this form, I am stating that I have read, understand, and agree to the copyright restrictions above*

Items to Photocopy*

Call # Accession # Collection #	Box # Vol #	Collection Name Book Title	Copying Instructions
Book Example: F899 S4 G7 1891	n/a	History of Seattle Washington	Title page, p. 35-48
Manuscript Example : Acc: 4791-001	25	American Friends Service Committee Records	Box 1, Folder 7
Photograph Example : PH Coll 052	n/a	Rainier National Park Mountain-Glacier Wonderland Album	Please darken photographs

Additional Options

Delivery options:

Electronic (PDF)
I will pick up my copies
Please mail my copies to me (shipping and handling fees will apply**)
^**Washington residents, add Washington sales tax

Cost/Estimate:

I agree to pay all charges incurred for this order (see Reproduction Price List)
Please send me an estimate before processing my order (this will delay your order)