From: [name] <[email]>
To: Appeals <appeals@library.wisc.edu>
Subject: Appeal of Charges

I.D. Number: [required-ID-number]
Your name: [name]
Address: [address]
City: [city]
State:  [state]
Zip: [zip]
Phone: [phone]
E-mail address: [email]

"Please check the appropriate reason:"

[first-appeal] First Appeal (explanation optional)

[recall-not-rec] Recall Notice Not Received (explanation optional)

[med] Medical (brief explanation and/or supporting documentation required) 

[fam] Family Emergency (brief explanation required) 

[oth] Other (please state concisely)

[question] Question

Explanation:
[explain]