Utah State Publications Reporting Form

Government Agencies Please use this form to submit digital copies of your publications for preservation and distribution to depository libraries. Attach a digital copy of the publication with this form and supply the Web address if there is one. Use this form also to submit digital publications not on the Web or removed from the Web. If the publication is in a physical format as well as a digital format, please attach the digital copy and send a minimum of 3 physical format copies to the State Library. If the publication is only available in print, please send 17 copies for distribution to the State Library.
Title of publication:	Author(s):
Reporting agency:	Frequency of publication:
Date of publication:	Intended audience:
Publication format: Digital only Print only Digital and Print	CD-ROM/DVD Other
Web address (URL) of publication (put "NA" if not applicable):
Attach your document:
Keywords or description to help us catalog this publication:
Reported by (your name):	E-Mail address:

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Questions? Contact Linda Roholt, (801) 715-6754, State Documents Cataloger