DD/ILL New Patron Sign-Up

The personal information in this form is used to identify you and your delivery options.

Note: Required fields are displayed in RED.

Full Name:
Home Campus:
Status:
Department or Major
U-Box:
Home Address:
City:
State:
Zip:
Campus Office or Work Phone:
Home or Dorm Phone:
Fax Number:
E-Mail:
	If you are a faculty/staff member or a currently enrolled student, the DD-ILL office will contact you concerning your requests via your official UConn email address only. Please provide only your uconn.edu or huskymail.uconn.edu address. If you are a Community Borrower or a retired member of the UConn community, enter the email address you prefer. If you do not read your UConn email, you will need to FORWARD your account to another address here: http://forward.uconn.edu before you use the DD-ILL service.
Special Information: