JOB#
Requestor
Department
PS#
Phone#
Personal Work
(To Be Billed To Individual/Organization)
Name
Address
Authorized Signature
Test
Form
Syllabus
Letter/Memo
Course Material
Date Required
COPY ON
ONE SIDE
ONLY
COPY ON
BOTH SIDES
Total Number of Pages (To Be Copied)
Number of Copies per Page
Special Instructions
8.5 x 11
8.5 x 14
11 x 17
Paper Provided
20# Paper
Cardstock*
Letter Head
Envelopes*
White
White
Plain White Black Ink
Plain White Black
Blue
Cream
State Seal Black Ink
State Seal Black
Buff
Gray
State Seal Black/Red
State Seal Black/Red
Golden Rod
Ivory
Buff* Black/Red
Buff* Black/Red
Green
Green
Pink
Golden Rod
Yellow
*Charged Against FRS Account
Collate
Punch
Thermal Bind*
Staple
Cut
Fold
Pad
Describe Specific Requirements
Return Through Campus Mail
Will Pick Up
Distribute To:
Administrators
Classified Employees
Faculty
Librarians
1 Each Department
Students(Fred. Hall)
Finished Work and Received By:
Date
IF ENCLOSED CONTAINS COPYRIGHTED MATERIAL:
NOTICE:
Warning Concerning Copyrignt 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 of other reproduction. One of these specific conditions is that the photocopy or other reproduction is not to be 'used for any other purpose other than private study, scholarship or research.' If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of 'fair use' that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a printing order if, in its judgement, fulfillment of the order would involve violation of copyright laws.
This request complies with section 107 of the copyright law.
Signature of Instructor
**** Please print this form before submitting ****