Fine Appeal Form

This is only an appeal and not a waiver of payment. Valid for current fines only. Lost and/or damaged charges, processing frees, and accounts sent to collections may not be appealed.

CONTACT THE LIBRARY WITHIN ONE WEEK FOR DECISION RESULTS.

Information identified with an asterisk (*) is required.

Personal Information

Facts About Your Fine

Books Videos Reserves Other

I hereby attest to the truthfulness of the above information and, to the best of my knowledge, it is accurate and complete.

I have been informed of the LIBRARY PROCEDURES AND PROTOCOLS and agree to pay any future fines according to library guidelines.