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2. Interlibrary Loan Request Form

   The Highland Park Library will request materials through the Interlibrary Loan System when a patron completes and signs the following form. Please, be aware that this request form does not guarantee the availability of desired materials, or Highland Park Library’s ability to provide them.

   By signing this form the patron agrees to pay a borrowing fee to help defray the costs of return postage, insurance, etc. This $3.00 fee is collected at the time of checkout and is payable in the form of cash or check. 

   The lending library holds the receiving library responsible for damage to or loss of the borrowed materials from the time it leaves the lending library until it is received back at the lending library. By signing this form the patron accepts responsibility for the materials from the time it leaves the lending library until it is received back at the lending library. 

   Renewal of materials through the ILL System is at the lending library’s discretion. Materials returned late are assessed a fine of $5.00 per day. Patrons who fail to return materials are charged the cost of goods as determined by the lending library, plus a $25.00 processing fee. Patrons who request materials through ILL and fail to pick them up are assessed a fee of $5.00 for each unclaimed item. Patrons may have up to five open requests at one time.

4. First Name*
5. Last Name*
7. HP Library Account*
   -- Select One --YesNo

   You must have a valid Highland Park Library account to submit an ILL request.

8. Library Card Number
10. Phone Number*
11. Email address*
13. REQUESTED MATERIALS DESCRIPTION
15. Title*
17. Author*
19. Publisher
21. Date of Publication
23. ISBN
25. Format*

    1. Book
    2. Large Print Book
    3. CD Audiobook

27. PLEASE NOTE THAT BY SUBMITTING THE ILL REQUEST FORM YOU AGREE TO:

    1. Pay a $3.00 borrowing fee for each item at checkout.
    2. Abide by a 14-day check-out period and acknowledge that renewals are not guaranteed.
    3. Abide by the copyright law of the United States.
    4. Return the items in the same condition in which they were received.
    5. Pay all fees assessed by the loaning institution, including full replacement charges if the item(s) is/are lost in transit.
    6. Acknowledge it generally takes 2-4 weeks to process, receive, and distribute requested materials.
29. I have read and agree to the above:*

    1. Yes
31. Date*
    Date
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field