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Form for appeal of library charges

Use this form for all University Libraries' charges.

You MUST complete the entire form for the request to be processed. Completing the form authorizes members of the Fine Appeals Committee to review library charges.

Before submitting this form, please review USM Libraries' Circulation Policy regarding appeals
USM I.D. (required):
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Your Name (required):
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Address (required):
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City (required):
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State (required):
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Zip (required):
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Phone (required):
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USM Email address (required):
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Please confirm email (required):
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You will receive notification of the decision of the Appeals Committee via U.S. Post. If you do not receive a reply within three weeks, it is your responsibility to contact the Circulation Department at 601.266.4250.
Please check the appropriate reason:
Please make a selection.
Appeal for fines (brief explanation necessary)
Recall notice not received (explanation optional)
Medical (brief explanation and supporting documentation required)
Family Emergency (brief explanation required)
Other (state concisely)
Question
Type your explanation, statement, or question in this area. If you wish to contest only part of your charge, clearly state which part you are appealing.
A value is required.
   
 
The University of Southern Mississippi | University Libraries | 118 College Drive #5053 | Hattiesburg, MS 39406-0001