Copyright Compliance Statement

If you are using the PDF version of the Course Reserves Request Form, this statement must be printed, signed, and returned to the Library. This form is a one-time requirement.


I understand and agree to adhere to the copyright standards established for placing materials in the Print and A/V Reserve Collection as outlined in the Copyright Guidelines. I understand that my failure to do so may result in having items refused for placement in the Reserve Collection.



Print Name:  _______________________________________________


Signature:    _______________________________________________


Department: _______________________________________________


Date:             ____________________