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Lovejoy Library Miscellaneous

Faculty/Staff Request to Authorize Proxy Borrower

For Faculty and Staff ONLY

To request a proxy, read and complete ALL information below.

Online proxy requests are processed M-F ONLY.

Faculty/Staff Name

Faculty/Staff ID # 21811800

Phone
SIUE Email
Department:
Select Term:

Select duration of proxy:


A proxy borrower must be a valid SIUE student, staff, or faculty member in good standing (verified by Access Services).

After the proxy information is entered in the Library's circulation system, privileges will be in effect and the proxy will only need to provide their SIUE Cougar card to pick up materials for you. Proxy privileges are subject to all circulation policies and may be used for circulating items and interlibrary loan pickup only.

I hereby authorize the following person to borrow library materials on my behalf:

Name

PROXY ID # 21811800

By submitting the proxy form, I understand that I assume full responsibility for items not returned and/or any fines or fees assessed for late return or damaged items.

You will be notified by email when the proxy is established.
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