Request for Reconsideration Form

Title(Required)

Author(Required)

Publisher(Required)

Requested initiated by(Required)

Full name

Email Address(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Complaint represents:(Required)

If an organization, please give name:(Required)

If not reply n/a

How was the book/item brought to your attention?(Required)

Do you know, or have you read anything about the author?(Required)

Did you read/watch the entire book/item?(Required)

Are you considering the book as a whole?(Required)

What in your opinion is the theme of the book?(Required)

What do you object to in the book/item? (Please be specific)(Required)

Have you read or heard any reviews of the book?(Required)

In your opinion is there anything constructive about the book/item?(Required)

How would you like the Library to respond to your complaint about the book/item?(Required)

Do not loan to some patrons

Re-evaluate the book

Withdraw it from the Library

Use the box below to explain your choice.