RECONSIDERATION OF LIBRARY MATERIALS FORM

1.       Please review the Material Complaint Process for Patrons (attached)

2.       Fully complete all the requested information on this form.

3.      Bring or mail the completed form to the Library at the address below

3.Patron Request for Reconsideration of Library Material

Thank you for your interest in the Library and its materials collection.  The Library takes very seriously all concerns expressed by its patrons and will attempt to respond as quickly as possible.  Library staff will review your comments and evaluate your recommendation using the Library’s Materials Selection Policy as a guideline.

Your Name                                                                                Library Card No.
Address                                                                                    Phone                                    City                                                                                          Zip

1.  Library material on which you are commenting (PLEASE CIRCLE ONE): 

 Title                                                                                         Publication Date
 Author/Producer
 Publisher                                                                                  Call No.
 ISBN

2. Did you read/ listen to/ view all of the material?
 If not, which sections/ parts?

3. To what in the work do you object?  (Please be specific.  Cite parts or pages.  Use the back of this sheet as necessary.)
 

4. What do you suggest the Library do with this title?

 

5. Additional comments (Please use other side if needed.):
 
 

Signature                                                                 Date

STAFF USE ONLY:    This form was received by:
Date                                  Time                                                               Action taken:

 

Adopted by the Board of Trustees on 14 Sept 2005 

Copyright © 2006, Krista Wittenberg
Revised -- 5/1/2006