Archives

Private Study or
Research Reproduction Request

2700 Kenny Rd.
Columbus, OH 43210
614-292-2409
go.osu.edu/archives | archives@osu.edu
go.osu.edu/oppa | archives@osu.edu
go.osu.edu/polararchives | polararchives@osu.edu

The materials in The Ohio State University Libraries’ collections are open for research use, except where noted, or where restricted by law.

Contact Information
Name _________________________________________________________________ Date________________
Company/Organization (if relevant) ________________________________________________________________		
Billing Address ______________________________________________________________________________		
City__________________ State/Province ___________ Zip Code_________ Country______________________
Shipping Address (if different) ____________________________________________________________________		
City__________________ State/Province ___________ Zip Code_________ Country______________________
Phone _____________________

E-Mail Address__________________________________________________

Researcher Information
Ohio State Faculty

Ohio State Staff

Ohio State Graduate Student
Visiting Scholar

Department/Unit: _________________________________Ohio State Undergraduate Major: _________________________________

Institution:____________________________________ Position:______________________

Other: __________________________________________________________________________________
Research Topic: _____________________________________________________________________________NOTICE WARNING CONCERNING COPYRIGHT RESTRICTIONSThe copyright law of U.S. (Title 17, United States Code) governs the making of photocopies or other reproduction of copyrighted material.
Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these
specific conditions in that the photocopy or reproduction is not to be “used for any purpose other than private study, scholarship, or research.”
If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of “fair use,” that user may be liable for copyright infringement. This institution reserves the right to refuse to accept a copying order if, in its judgement, fulfillment of the order wouldinvolve violation of copyright law.
The Ohio State University Libraries do not own the copyright to all of the materials in its collections. Copyright may belong to the creator, theirestate, or assignee, although some materials may fall into the public domain. User assumes full responsibility for any use of the materials,
including but not limited to, securing appropriate permissions for use and publication of reproduced materials, and fully crediting sources
as required in this Reproduction Request Form. The Ohio State University Libraries do not make any representations as to the validity of third
party copyright claims.
Users agree to indemnify, save and hold harmless The Ohio State University, their employees and designates from any and all costs, expense,
damage, and liability arising from or in any way connected to any claim whatsoever which may be presented by anyone for loss or damage orother relief caused by The Ohio State University release of any items and their use in any manner, including inspection, publication, reproduction, broadcast, duplication or printing by anyone for any purpose whatsoever.

Archives
Required Citation:
Material within The Ohio State University Libraries Archives should be cited as follows:
The Ohio State University Archives, Collection Name (Box/Folder number), “folder title.”
Collection Name (Box/Folder number), “folder title” in the Byrd Polar and Climate Research Center Archival Program,
The Ohio State University Libraries.
Collection Name (Box/Folder number), “folder title” in the Ohio Public Policy Archives, The Ohio State University Libraries.

Requested MaterialType of Reproduction
Scan• Images will be scanned from the original at 300 dpi at 100% size, JPEG, RGB color unless otherwise specified.		

Please specify below.

________________________________________________________• Fee schedule cost:– Existing scan: $10/scan– New scan: $20/scan– Image manipulation: $50/hr
Rush Order (3-5 business days), subject to availability. Contact library for details.
Photocopy Reproduction OR PDF Scan
Black & White Photocopy
Color Photocopy
PDF Scan• Photocopies and PDF scans are free for the first 100 pages and then become $0.15 cents per page after,including the first 100• For orders that exceed 300 photocopies or PDF scans, please contact staff• Shipping fees may apply
Audio Visual Reproduction• Vendor fees + 10%
Additional Specifications/Instructions:

Delivery for Image Reproduction: Email (if file is larger than 10 MB, File Transfer Service will be used)• Recipient Email Address (if different from contact):___________________________________________________
I assume full responsibility for conforming to the laws of copyright, libel, and literary property rights which may be involved in using any document. I have
read, understand, and agree to abide by the terms set forth in this Private Study or Research Reproduction Request form. By signing, I warrant that theabove information is accurate.

Signature: _________________________________________________________________________ Date: __________________