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last updated: 9/12/2012

Fine Appeal Form (Media & Reserve Services)

Media & Reserve Services
Fine Appeal Form

To appeal an overdue fine for materials borrowed from M&RS, complete the form below. You may also want to print a copy of this page for your records. Please note, all appeals must be filed within 90 days of the fine to be considered. You will not receive direct notification about the result of your appeal. If your appeal is NOT granted, you will receive a charge on your bursar account within 3 weeks. If your appeal is granted, you will not receive a fine for items borrowed.

If you are submitting an appeal for an overdue piece of equipment such as a video camera, please review the M&RS Services Circulating Equipment Policies before submitting your appeal.

All decisions are final. Reasons not considered as a basis for waiving fines include: lack of understanding of Library Policies, unwillingness to take responsibility for loaned materials, non-receipt, late receipt, inattention of notices, vacation, or spring break.

* denotes required field

* Last name:
* First name:
* IUB ID card barcode (Note: begins with the number 2):
* Phone number:
* Email address:
* Fine date (mm/dd/yy):
* Fine Amount:
* Reason for Appeal:


Last updated: Tuesday, Jan 13th 2009

last updated: 9/12/2012