UCI Libraries Internet Resources Request Form

INTERNET RESOURCES ORDER FORM

This is a form for ordering locally-licensed Internet resources.

INSTRUCTIONS: Bibliographers go to the Collections website, print out this form.

I. BASIC INFORMATION
Contact e-mail (REQUIRED):     Date:
Bibliographer:
Fundcode:
Title:
ISSN (optional):
Online vendor name:
ANTPAC Bib Number (if existing print subscription):
Web Address to use:
Requesting faculty (optional):
II. PRELIMINARY BACKGROUND CHECKS
Preliminary checks for existing web access:
Check Ulrich's Periodicals Directory for prices
Or check EBSCONET for prices  (Choose USA for nearest server. Ask Acqs for login)
Check JAKE:  click on "complete details" to see if full-text is available via an aggregator or ejournal collection: 
III. PRICING- see Principles
Paid by: UCI     UCI & others (Tier 2)
Type of fee: One-time price   Annual subscription   Other (describe in comments box)
Fee based on: FTE students/users (use UC General Campus Year-Average Enrollments for previous year)   Simultaneous users - Number of users:    Libraries' budget   Other (specify below)
Cost/comments:
For fee (paid)  (please check ALL that apply):
for full access
free online w/ existing active print subscription (indicate in comments box above if ACQs needs to submit subscriber number)
free online w/ print subscription, need to start new print subscription
free online w/ print subscription, need to reinstate print subscription (include ANTPAC bib record # in comments box above)
separate fees for print & online (describe in comments box)
server maintenance fee (describe in comments box above)
bundled package (e.g. comes with membership, multi-title package);
IV. FORMAT
Format  (please check ALL that apply): Web   Web & Print   Other (list in specs box below)
Type of product   (please check ALL that apply):   Electronic journal(s)    Abstracts/index    Database with search option    Web site    Government document    Numeric Data    Directory    Program/Interactive media
Bibliographers! Where should it be listed on the Website?  (please check ALL that apply):
New Resources   Comprehensive A-Z   Abstracts A-Z   Online journals
Bibliographer's Subject Web Page (indicate which webpage & where you want this new resource positioned):
V. LICENSING/RESTRICTIONS
License terms: (preferably provide printed license agreement or submit URL)
Restrictions on access:  in library only   by IP address & proxy   by IP address only
Password or registration:  password for library use; ask at Ref desk  users register online other (specify below)
Comments (registration login and password, etc.):
Bibliographers! last step:  Send form, license and/or attached printouts to L. Tanji
VI. COLLECTION DEVELOPMENT DECISION
LT Approval:
Date:
Use fundcode as requested by bibliographer. If not, use this fundcode:
UCI IP Address ranges given to vendor: UCI UCOP None given to vendor
Catalog/Web:  Catalog and Add to Web  Catalog only; do NOT add to Web  Add to Web only; do NOT catalog
END OF FORM                                         Form revised November 13, 2009