Purchase a Dissertation Form After completing this form, the Interlibrary Loan Department will order a personal copy of a dissertation for you at a reduced rate. Payment will need to be made at the time of pick-up and failure to pick up your dissertation within a week will result in your library account being blocked. Requestor informationStarred (*) fields must be completed.Your Name*Your 11 digit number from your UW I.D.*Information about campus ID cards here: Illustrations of different IDsYour Email* Bibliographic informationProQuest Document ID:Each dissertation deposited into ProQuest will have an assigned ID number. Search ProQuest Dissertations here.TitleAuthorAdditional informationSource of citation, price, Amazon URL, WorldCat number, or other commentsPhoneThis field is for validation purposes and should be left unchanged.