Bill Appeal form

Please read the Bill Appeals Policy prior to submitting a request.

Requester Information

First Name

Last Name

Area Code

Phone

Extension

Barcode Number

Did the fine occur in the last 30 days?

Yes

Amount being appealed (in dollars)

How many items does this appeal pertain to? Enter a number next to each item type.

CSU Main Collection items

Reserves items

SWITCH consortium items

Interlibrary loan items

A/V equipment & computer related equipment

List the item titles of the fine you are appealing

List the reason the fine(s) should be waived: