You must be an eligible staff member of the Western Australian Department of Health to access our services and be a registered library borrower before completing this form.

If you have queries regarding any forms at this site, please contact the library on 9222 4313 or via e-mail: doh.library@health.wa.gov.au.

Book/Journal Acquisition Form

Library Services can purchase items on your behalf. Use this form if you want us to purchase and catalogue items paid for from your cost centre, and stored in your work unit.

Alternatively, if you would like to recommend items for the library's collection, send ua a Recommendation for the Library Collection form.

PUBLICATION DETAILS
Author:
Title:
Publisher:
Year:
ISBN/ISSN:
Price:
No. of Copies:
AUTHORISATION
Cost Centre/Fund No.:
Authorised by:
Authorisor's Position:
Authorisor's Position No.:
Authorisor's Email Address:
FORWARDING DETAILS
Forward Book/Journal to:
Mailing Address:
CONTACT DETAILS
* Note: If you are not a registered library user, please register here
Name:	(req.)
Position:	(req.)
Section/Health Service:	(req.)
Address:	(req.)
Email Address:
Telephone:	(optional)
Fax:	(optional)