Inter-Library Loan Request Form

Please search the catalog first!
Fill out as much information as you can below. Author and title are required. You must include your library card number; we only accept requests from registered borrowers. You must also fill out the section on fees at the bottom. Please limit your requests to five outstanding at any given time.

Author Last Name:
Author First Name:
Author Middle Initial:
Title:
Format:
Publisher:
Date of Publication:
Edition:
Any edition? Yes   No  
Not Needed After

Pick-up:

Branch for pick up: Main   Coolidge Corner  Putterham

Contact Information:

Your Name:
E-Mail Address:  
Address:  
Phone:
Day   Eve  Machine
Library Card No.:
(14 digits, no spaces)

Fees

Due to a severe cut in state funding to libraries, costs that had been paid for by the state are now being charged back to the local library. The Public Library of Brookline will try to locate and borrow items from libraries that do not charge lending fees and are within our state delivery system. In those instances where this is not possible, there may be a cost for postage and/or a fee payable to the library owning the item.

If the item is not available without incurring a fee,

I agree to pay a minimum postage fee of $3.00, and possibly more. Yes   No  
I agree to pay a lending fee of up to $15.00. Yes   No  
I agree to pay a lending fee of more than $15.00, up to the full cost. Yes   No  

By answering yes to the above questions you are accepting responsibility for the costs specified above. Once the request has been submitted, you will be responsible for all costs incurred, even if you do not check out the item. Failure to pay the charges will lead to loss of library privileges until the fees are paid in full.


Please review your information and click here to submit.