Virsa Digitization Request Form
Use this form to submit incidental (all sizes) and collection-level requests for Digitization services. Once submitted, a help desk incident (RightNow) is automatically created. All further email communications concerning the request will be taken up later. Departments requesting digitization services will be informed of the actual costs when necessary.
Name of Requestor (or point of contact):
Meets Which Priority Criteria First Priority: Support for Research & Teaching within the USF Community Second Priority: Support fo Library Advancement & Promotion of Library Third Library: Development of internal collections (Tampa Library) Fourth Priority: Support for community (i.e. external to USF) research & teaching
Source of Request
Expected use of digitized items:	Personal Internal Publication External Publication - Commercial External Publication - Publicity External Publication - Academic/Research Library website USF Libraries Digital Collections Multiple Others
Items to be Digitized	Select Item Manuscript Books Newspapers Pictures Magazines Political Documents Audio
Requested date of completion: (YYYY/MM/DD)
Short verbal description of request:
Estimated number of individual titles/items:   Example: 2 books and 8   photographs=10   titles/items.
Estimated Total number of pages or items to digitize:    Example: 2 books=300    pages + 8    photographs=308    pages/items.
Materials Transfer: It is the responsibility of the individual requesting digitization services to ensure delivery of materials to be digitized to digitization services staff
(If any) Materials Pickup/Delivery and/or handling/storage information:
List general types & condition of materials:   Examples: Individual 8x10 photographic prints fragile tightly bound book, etc.
Required specifications (optional) [i.e. directions from professional printer,etc.] If not specified regular standards will be used. Examples: 300dpi resolution, 24bit color, TIFF, uncompressed
Short verbal description of form of delivery/deliverables: Examples: Standard master archival images on CD-ROM or DVD-ROM Standard web derivative images copied to drive:\directory\..
Other notes or instructions: