REQUEST FOR RECONSIDERATION OF AN ITEM
See Reconsideration Policy and Procedures for an explanation of the use of this form.
Title of Item ___________________________________________________________
Request initiated by ______________________________________________________
Telephone (Day) ________________________ (Evening) ________________________
Do you represent
__________ A Group or Organization – _______________________________________
Please help us understand your request by answering the following:
1. Why do you object to this item? Please be specific.
2. Did you read/view/listen to the entire item? ___________________ If not, what
3. What do you feel might be the result of reading/listening to/viewing this item?
4. Is there anything of value in this item?
5. What do you believe to be the theme of this item?
6. What review(s) of this item have you read or seen? (Copy(ies) may be attached.)
7. What would you like the Library to do about this item?
8. Is there an item you would suggest in place of or in addition to the item in question?
Your signature (required)
Thank you for filling out this form.