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Appeal of Decision on Library Fine, Fee, and/or Other Charge Appeal Form
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FIRST NAME
LAST NAME
MIDDLE NAME
Leave this alone
Library you attend
Castle Dale Library
Cleveland Library
Elmo Library
Emery Library
Ferron Library
Green River Library
Huntington Library
Orangeville Library
MAILING ADDRESS
PHYSICAL ADDRESS
TELEPHONE NUMBER
BIRTHDATE (MONTH/DAY/YEAR)
UTAH DRIVER LICENSE OR ID NUMBER
EMAIL
EMERY COUNTY LIBRARY SYSTEM CARD NUMBER
TOTAL AMOUNT OF FINE, FEE, AND/OR OTHER CHARGE
NUMBER OF ITEMS
TYPE OF ITEM(S) FOR WHICH FINE, FEE, AND/OR CHARGE ASSESSED:
AUDIO-BOOK
BOOK
CHROMEBOOK
DVD/BLU-RAY
FIRE TABLET/KINDLE
PERIODICAL
PLAYTIME PAD
STORYTIME BAG
OTHER
I am appealing the branch librarian’s decision regarding the library fine, fee, and/or other charge assessed to my account for the reason listed below.
Date
Signature of an Applicant
Submit