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Library Billing Office

Billing Appeal Form

If you have a question/concern about a Library Billing matter or you wish to appeal/contest a bill,
please complete this form. A Library staff person will soon contact you.

*THE FIELDS IN RED ARE REQUIRED*

First Name:
Last Name:
Phone: (required if Email address not provided)
Email Address:
Library Barcode:
Example: 22106007679833
Please indicate the type of checkout:

General Collection

ILL (Inter-Library Loan)
(ILL items will have a green piece of paper strapped onto the front cover)
McHenry Reserves

S&E Reserves

Film & Music
For each item, please enter the TITLE, BARCODE and CALL NUMBER separated by commas. (ex. The Grapes of Wrath, 32106014060575, PS3537.T3234G8 1967)

NOTE: For ILL items, please include the TITLE and the ILL NUMBER located on the bookstrap or an overdue notice. (ex. The Grapes of Wrath, ILL: 5864795)
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item 10
Item Status:

Note: If you have more than one item and the status is different between the items, please use the Explanations/Comments area below.

 I returned it on this date:
I question $ in fees assessed
I need more info (specify):
Explanation/Comments

Page maintained by Billing. Last updated 07.14.2005.

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