Document Conversion Request Form
Mary Livermore Library

Name: Date:   Time:


Phone:   Email Address:

Please prepare a request form for each item.

Item Submitted:

(check the box for the particular item that is being requested to be re-formatted)

 Book        Reserves (Electronic and/or Print)          Journal Article

Requested Format:

Html           Word or WordPerfect          PDF         Large Print


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.