Extended Library Services Verification Form

The student named in this verification form, below, will be undertaking an undergraduate/graduate course or work/study term under my supervision at an off-campus location that is more than 90 kilometres outside the city limits of Lethbridge, for which access to interlibrary loan/document delivery service is needed.

If you would prefer to submit a printed request, please print and complete the appropriate PDF form, below, and then return it to the Library's General Services Desk.

Part One - Faculty Member Identification

University ID (9 digits)

Last Name

First Name

Department

Part Two - Student Identification

Type of student:

University ID (9 digits)

Last Name

First Name

Middle Name

The address supplied must be the student's address for the work/study term.

Apt #, PO Box, Street Address

City

Province/State

Postal/Zip Code

Country

Telephone - -

Complete Email Address
(e.g., john.doe@uleth.ca)

Start Date

End Date

Part Three - Faculty Member Authentication

Username
(e.g., john.doe) Forgot your username?

Password Forgot you password?

Submission

Please be sure you have completed all three parts of this form. ALL FIELDS MUST BE COMPLETED.

Please allow up to two business days for your authorization to be processed. If any problems are encountered with processing your authorization, you will be notified by email.

If you have any questions, please send an e-mail to:

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