Document Conversion Request FormMary Livermore Library Name Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20122013201420152016 Time Phone Email Address Please prepare a request form for each item. Item Submitted: Book Reserves (Electronic and/or Print) Journal Article (check the box for the particular item that is being requested to be re-formatted) Requested Format: Html Word or Wordperfect PDF Large Print ITEM INFORMATION Please provide the following citation information, so that the Library can process your request more efficiently and expeditiously. Attach the original citation, such as a screen print to this form, if possible. Check with the Reference Desk for assistance. Book: Title, author, ISBN, and pages needed Reserve Item: Course and professor's name, name of reserve materials Journal Article: Journal title, volume, number/issue, date, page(s), author, title of article *If your request is from an electronic database (EbscoHost, Infotrac,etc.), please provide the name of the electronic database/resource: The Mary Livermore Library will make every effort to provide the alternative format to you within 2 business days. Incoming requests will be handled on a first-come, first-served basis.