Form Center

2. Introduction

   At all times the professional staff of Abilene Public Library work to select the best materials for our patron's use. From time to time, individuals may find a particular work to be objectionable. When that happens, the library is prepared to formally reconsider retention of the item in our collection, in keeping with the tenets of the Library Bill of Rights To contest an item, the following form must be submitted.

4. Title of Item*
6. Author*
7. Publisher or Producer (if known)*
9. Date of Publication or Production*
10. Type of Materials (Book, Audiobook, DVD, etc)*
12. Your Name*
13. Phone Number*
14. Library Card Number*
16. Address*
18. City*
19. State*
20. Zip Code*
22. Library Where Item is Maintained*
    -- Select One --Main LibrarySouth Branch LibraryMockingbird Branch Library
23. Person Making Requests Represents*
    -- Select One --Him/HerselfGroup/Organization
25. Contact Information for Group/Organization (If Applicable)*
27. Did You Review the Entire Item*
    -- Select One --YesNo
28. If Not, What Section Did You Review?*
30. What Did You Find Objectionable in the Item? (Cite Specific Pages or Sections)*
32. In Your Opinion, What Harmful Effects Might Result from the Use of This Item?*
34. Do You See Any Value in the Use of This Item? (Instructional, Literary, Self-Development)*
36. Should the Opinion of Any Additional Experts in the Field be Considered? Please List Suggestions:*
38. In the place of this item, would you care to recommend other material which you consider to be of equal or superior quality for the purpose intended?*
40. Are You Aware of Literary Criticisms of This Item?*
    -- Select One --YesNo
41. If Yes, Which Ones Did You Read?*
43. Do You Wish to Make an Oral Presentation to a Review Committee?*
    -- Select One --YesNo
45. Signature*

    Type your first and last name in this box to affirm your submission of this form.

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field