Information Technology Audio Visual
DUPLICATION/TRANSFER FORM

All requests must be approved by your department's E.O. or Program Officer
Blank media must be supplied before work is done
We cannot copy DVD's that are copyguarded
Copyright infringement is the responsibility of the requestor
Information: Date (mm/dd/yyyy):  select  Requested By:

Contact Informaton:

Email:

Department: Authorized By:
Formats Available:
Original Copy
Additional Notes/Instructions:

Picked Up By:

Date:  select

AV Office Use Only: