SRLF Recall Request Form

Only the owning library may request recall of its material.
Items must be re-processed at SRLF before being released on recall to the owning library.

Submit one form per title to be recalled.

I have the item(s) I don't have the item(s)	Instructions: Complete this form and click the "Submit" button. Print the page returned to the screen, insert it in the item, and return the item to SRLF. Instructions: Complete this form and click the "Submit" button. Print the page returned to the screen for your records.
Person requesting recall: Should be the owning library unit head or a bibliographer
Address: (including Library and Campus)
E-mail:
Phone:
Ship Items To:	Check if same as above
Name:
Address: (including Library and Campus)
Phone:
Title to be recalled:
Call number:
UCLA Catalog Record ID: (if known)
Item(s) to be recalled:
Volume or Box #1:	Item Barcode:
Volume or Box #2:	Item Barcode:
Volume or Box #3:	Item Barcode:
Volume or Box #4:	Item Barcode:
Volume or Box #5:	Item Barcode:
Additional Notes:
If more than five items of the title are to be recalled, specify continuous ranges of volume/box numbers and item barcodes or submit additional form(s). Reminder: Print the page returned to the screen.