Request for Consideration of Library Materials

If you have found library materials about which you have concerns, please complete the form below:

Title submitted for reconsideration*
Type of media*
- Book
- Audiobook
- Video
- CD
Author/Artist/Composer/Producer
Publisher
1. To what in the material do you object? Please be specific; cite pages
2. Did you read/view/listen to the entire work?
3. What pages, sections, or portions did you read?
4. What did you find of value in the material?
5. For what age group is the material intended?
6. What do you feel might be the result of reading, viewing, or listening to this work?
7. What would you like to have done about this work? Removed/Reclassified
8. What material would you recommend in the same format to cover the subject for this age group to take its place?
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Library Barcode*
Organization Represented (if any)