This form is to be used when you have an item or items still charged to your library account after returning the item to the library. This request will not be processed for any item overdue for more than 45 days. All communication will be sent to your e-mail address with the subject line of Claimed Returned to Library.

Patron's Contact Information

Student ID:

Material Information

Call Number:
Date Returned :
Time Returned:
Please Select One: Faculty Graduate Undergraduate
Staff Library Staff

The Circulation Department will search for the Claimed Returned item or items for 45 days. If the item(s) are located it will be checked in and removed from the patron’s record. If the item is not found, the patron will be charged the price of the item and a non-refundable processing fee. All communication will be delivered by e-mail with the subject line: Claimed Returned to Library.

*I understand and accept the terms of the Claimed Returned Policy: