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.

Information identified with an asterisk (*) is required.

Personal Information











Facts About Your Fine



Type of Item(s):







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 protocols and agree to pay any future fines according to library protocols.