Please fill out the following form as completely as possible and click 'Submit'. Confirmation will be made by email within 3 business days of receipt of this form.  Please use the Request Books Form to request books via interlibrary loan.  If you are having trouble completing this form please contact us for assistance via email at library@palomar.edu or call us at 760-744-1150 ext. 2612.

Interlibrary request forms are also available at San Marcos campus Library and at the Escondido Center Library.

Please check the online databases for availability of articles before you submit a request for a periodical or journal article.

Your First Name:
Your Last Name:
Palomar ID#:
Email:
Phone/Ext:
Street:
City/Zip:
Magazine or Journal Title:	You must include the title of the magazine or journal.  For example, Newsweek or Journal of General Education.
Volume:
Number:
Date:
Pages:
Author:
Article Title:	You must also include the title of the article. Please do not use abbreviations in Article Title.
Cited in:

Notice: The material requested may be protected by Copyright Law (Title 17 U.S. code).

Please indicate if you are a student, staff/faculty or community member.  Please check only one.

 Student
 Staff/Faculty
 Community member

Please select one of the following.

 I am willing to pay up to $10.00 by check for the requested material.
 I want this item only if there is no charge.

I will not require this article after the following date:

  For library staff only:

  Due date  Renewal  ID#