Please use this form to designate between 1-5 staff and/or student assistants in your department to accept Faculty Office Delivery services in your absence. Faculty Information Faculty Name Faculty Email Faculty Office Building and Room Number Department Delivery Authorization Statement (ULS Faculty Office Delivery) By submitting a Faculty Office Delivery request, I authorize the University Library System (ULS) to deliver requested library materials to my campus office, departmental office, administrative staff, approved proxy, or designated departmental mailbox, in accordance with ULS Faculty Delivery policies. I understand that delivery is limited to locations within the ULS Faculty Delivery service boundaries and that ULS will make one delivery attempt per item. Responsibility Agreement (ULS Faculty Office Delivery) I acknowledge that once library materials are delivered, whether signed for by me, an administrative staff member, an approved proxy, or placed in my departmental mailbox, I assume full responsibility for the items, including their care, return by the assigned due date, and any applicable replacement or billing charges. I understand that if delivery is unsuccessful, materials may be placed on hold at Hillman Library for pickup, and responsibility transfers upon checkout. Designees (1–5 people) Provide the name and email of each designated person. Name Email Name Email Add another person and email CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
