Damage Report Form

This form allows library patrons to report damage to library resources so we can repair or replace if possible.

We know items wear out with use and age. We also are aware that items may leave the library with unknown damage. Reporting damage does not automatically make you responsible for it.

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Name *

First

Last

Email *

Title of Book/Name of Resource *

Item Barcode

Please include the item barcode or catalog number if applicable. If you can’t find the barcode or don’t know, leave blank.

What type of damage would you like to report? Select all that apply. *

• Ripped/Chewed/MIssing Pages
• Water Damage
• Writing or Scribbles
• Binding/Spine/Cover
• Other

about tell

Please tell us more about the damage. Give page numbers if applicable. *

Submit