1) Print the form below.
2) Fill in the information.
3) Keep a copy of your submission for your records.
4) Fax or mail it to:
Suzanne Stensaas
Eccles Health Science Library
University of Utah
10 North 1900 East
Salt Lake City, Utah 84112-0589
Phone (801) 585-1281
Fax (801) 581-3632
Email suzanne.stensaas@hsc.utah.edu