Electronic Book Request

Please check the RFB&D book catalog before submitting your request. If RFB&D has your book, you are expected to use that source. Order it directly. If you don't have a personal membership, talk to your DR specialist.
Do not submit a request.

If RFB&D does not have your book...
Complete one form for each of your classes. All information is required for each book. If more than 3 books are required for the class please indicate so in the 'comment' section and submit another form with all necessary information.
You must provide proof of purchase of each book.

If we do not find electronic copies of the textbooks, books can be scanned and converted to electronic files. You must provide a copy of the textbook to be scanned and the reading assignments from the class syllabus.

Completion of this form does not guarantee that you will receive recorded materials.

Date:

Student Name
Student ID Number
Phone
e-mail ______@d.umn.edu
Disability Resources Counselor
Dept & Course No. (i.e., Hist 1204)
Section No.
Instructor
Instructor's Office Address
Instructor's phone
Instructor's email
   
BOOK INFORMATION  
Title of Book
Author
Edition & Date
ISBN
Publisher
Where was book purchased
Purchase Price
Which playback device will you use?
   
ADDITONAL BOOKS FOR CLASS  
Title of Book 2
Author
Edition & Date
ISBN
Publisher
Where was book purchased
Purchase Price
Which playback device will you use?
   

Title of Book 3

Author
Edition & Date
ISBN
Publisher
Where was book purchased
Purchase Price
Which playback device will you use?
Comments