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Web Claim Form

Use this Web form to claim Federal depository materials from GPO-issued shipping lists. These lists will have GPO as the claim address. Most microfiche claims must be made through the appropriate microfiche contractor and claims for USGS maps must be sent to USGS. Claim only documents in your selection profile that you did not receive.

Claims can be submitted from one shipping list at a time. You can submit, reset and reuse this form as many times as necessary. Enter the shipping list number, item, and class number for each item being claimed. If all the documents on a shipping list need to be claimed, check the "Claim Entire Shipping List" box below.

NOTE: Please first check the Claims Copies Exhausted page before making a claim. This page is updated periodically as necessary, and lists those publications for which GPO has exhausted its claims stock. Please do NOT submit a claim for any publication appearing on this list.

Expired Shipping Lists: Claims may not be made against the lists because the 60 day claiming period has expired.

Contact Information

Your Depository Library Number: required field
Your Name: required field
Your email address: required field

Check here if your library is a Regional Depository Library

Claims Copies Exhausted: By checking this box I certify that I have checked the Claims Copies Exhausted page and the publications(s) I am claiming below are NOT listed on that page.

Shipping List Number:

Publication(s) to be claimed

Item Number:
SuDocs Number:
Title (at least partial):


Item Number 2:
SuDocs Number 2:
Title 2 (at least partial):


Item Number 3:
SuDocs Number 3:
Title 3 (at least partial):


Item Number 4:
SuDocs Number 4:
Title 4 (at least partial):


Item Number 5:
SuDocs Number 5:
Title 5 (at least partial):

NOTE: Check this "Claim Entire Shipping List" box ONLY if your library is missing ALL selected items that appear on this shipping list.

Comments:

Legitimate Claim: By checking this block, I certify that this is a legitimate claim for publications I did not receive but whose item numbers appear in my depository's item selection profile, as listed in Item Lister (Not Pending Adds). Also, I know that Web Claim is ONLY for claims against GPO-issued shipping lists - mostly paper ( - P ), electronic ( - E ) , and separates ( - S ) lists - , NOT microfiche contractor (most - M ) or USGS shipping lists.

required field = Required

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