University of Cincinnati Libraries

Health Sciences Library
Library Account Request Application for UC Health Employees

 

Instructions:
Please fill in all of the information below. Thank you.
 
Required fields have a *.
   
*First Name:
*Middle Name/Initial:
*Last Name:
*UC Health Employee ID:
   
*Work Location:
*Department:
*Position:
   
*Manager Name:
*Manager Phone Number:
   
*Work Phone Number:
*Work Email Address:
Work Address:  
*Street:
*City:
*State:  
*Zip Code:
   
Home Address:  
*Street:
*City:
*State:
*Zip Code:
*Home Phone Number:
   
Please check here if you have previously had a University of Cincinnati Libraries Borrower’s Card:

 
   
Your submission confirms that you will abide by the lending rules and regulations of all the University of Cincinnati Libraries. All materials borrowed under this agreement must be returned at the expiration of their loan period or renewed. Any damages from misuse or loss due to theft or neglect will result in charges to you for all damages or replacement of the material. Materials will be billed at their full current market value plus a processing charge.
 
Your submission confirms that you understand that these library privileges are for you and you only.