Visitor Voucher
Faculty/Staff Visitors with UGACards must bring this form completed and signed by their sponsoring UGA Faculty member to have borrowing privileges at the Main and Science Libraries.
Visitors are permitted to borrow materials from the Main and Science Libraries during their visit to the University. The Libraries notify visitors of any obligations incurred. However, the sponsoring Department or Faculty must assume responsibility for these obligations before any borrowing privileges can be established for the UGA visitor. If borrowing privileges are requested, please complete the following:
Please allow the following UGA visitor to charge out materials from the Main , Science, Curriculum Materials and Music Libraries. Please enter the date (mm/dd/yyyy) range for borrowing privileges (maximum of 12 months) to be extended:
| START: | END: |
I understand that, if necessary, the Libraries will make a reasonable attempt to retrieve any materials borrowed by this visitor. However, I assume responsibility for any overdue fines, replacement charges, processing charges and damage fees assigned by the Libraries for all library materials not cleared from the visitor's name by the appropriate library. Also, I understand that in order to request borrowing privileges for this visitor, my own library records must be clear of all obligations.
VISITOR'S NAME (please print or type)
LAST 4 DIGITS OF SSN
ADDRESS
| Street/Apt #: |
| City |
| State, Zip Code |
EMAIL ADDRESS
TELEPHONE NUMBER
DATE
FACULTY MEMBER'S NAME (please print or type)
UGACARD BARCODE NUMBER
CAMPUS ADDRESS
| Department: |
| Room No./Building: |
EMAIL ADDRESS
OFFICE TELEPHONE NUMBER
SIGNED
**********FOR OFFICE USE ONLY**************
VISITOR INFORMATION
| Visitor's Patron # | VTD | ||
| Date | Initials |
SPONSOR INFORMATION
| UGA Sponsor Patron # | VTD | ||
| Date | Initials |
PATRON TYPE: UA