Circulation Services

UIC Faculty may use this form to designate anyone to check out or pick-up library items on their behalf. Responsibility for items checked out and for any fines or fees incurred remains with the faculty member.

When filling out the faculty authorization request form, be sure to include your library ID number, the fourteen-digit number beginning with 28198 located next to the barcode on your i-card. Indicate whether the authorization is for the current semester or the full academic year. If neither is indicated, authorization will be assigned for the current semester only. Once the form has been processed, Circulation staff will send a confirmation e-mail to the faculty member's UIC e-mail address with a copy to the designated proxy.

Patrons checking out or picking-up materials on faculty authorization cards must also show their own picture ID. Individuals who are authorized to check out or pick up materials on behalf of faculty are responsible for informing Circulation Desk staff of use of this proxy status. Such individuals must also show a valid picture ID.

Faculty Member's Name:
Department:
m/c:
E-mail:
Office Telephone:
Faculty UIC ID:
Indicate Rank:	Assistant Professor Associate Professor Professor
I authorize the following person(s) to charge out, pick-up, or request library items in my name:
1. Current Semester Only Full Academic Year
2. Current Semester Only Full Academic Year
3. Current Semester Only Full Academic Year
Submitted forms are processed by:

Daley Library Circulation Department 1-120 LIB, m/c 234 Fax: (312) 996-0901	OR	Library of the Health Sciences at Chicago Access Services 125 LIBHS, m/c 763 Fax: (312) 996-1899