This form applies to charges from all campus libraries with the exception of the State Historical Society Library .
Please note that lost book charges are not appealable.
For any charges billed more than one month ago, you should call the circulation office at 608/263-7360 during office hours or use this form to contact us before appealing.
Please fill in an 11 digit number from your UW I.D. or Memorial Library card:
You MUST give this number for your request to be processed. However, note that email is not an entirely secure system and therefore the Library cannot ensure that your transaction or your I.D. number is kept confidential.
State: Zip: Phone:
You will receive a notification of the decision of the appeal board via email. Call 608/263-7360 during office hours or use this form if you have questions. If you do not receive a reply within three weeks, it is your responsibility to contact the office.
First Appeal (explanation optional)
Recall Notice Not Received (explanation optional)
Medical (brief explanation and/or supporting documentation required)
Family Emergency (brief explanation required)
Other (please state concisely)
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:
in your appeal.
all fields (does not send a message).
Return to top
21 December 2004