Loyola University Chicago

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Loyola University Chicago

Library

School of Law

Proxy Authorization Form

Law faculty may use this form to authorize students to check out library materials to their account.

Faculty will be contacted after receipt of the form to confirm the authorization.

Use the comments box for any additional needed information.

 *Indicates required field


Sponsor Information

*Faculty Name
*Phone #
*Email
*Loyola ID #

Proxy Information

*Assistant Name
*Email
*Loyola ID #
*Begin Date
*End Date
Additional Comments  
PLEASE READ: I authorize the aforementioned individual to charge library materials using my Loyola Library ID number.  I understand that I am responsible for all materials charged to my ID during the authorization period.  I will notify the library if I suspect unauthorized charges on my account.
*Signature

Loyola

SCHOOL OF LAW LIBRARY
Philip H. Corboy Law Center · 25 E. Pearson Street · Chicago, IL 60611 ·

Circulation Desk: 312.915.6986 · Circulation E-mail: law-library@luc.edu ·

Reference Desk: 312.915.7205 · Reference Desk E-mail: loyolalawreference@luc.edu

Notice of Non-discriminatory Policy