Audiovisual Library Forms

Statement of Responsibility

To be eligible for library services, you must submit a signed Statement of Responsibility form indicating that you have read and agree to abide by all the rules and regulations of the library and that you accept financial responsibility for the media you borrow. A blank Statement of Responsibility form is provided below. If you do not have this form on file, please read, sign, and email, mail, or fax it to the library before you place your next order. Only one signed form is necessary.

The Statement of Responsibility is available as a pdf interactive form.
You can complete it on your computer and sign it digitally, if applicable. If you have no digital signature available, please print, sign, scan, and email it, send it by USPS mail, or fax it to us.

(Statement of Responsibility is Publication # F32-10521)

Media Order Blank Form

When possible, borrowers should submit a written request for media. The Audiovisual Library provides a Media Order Blank Form for this purpose. All of the information must be completed on the Media Order Blank Form and must be signed. For further information about how to order media, go to the How to Borrow Audiovisuals page.

The Media Order Blank Form is available as a pdf interactive form
You can complete it on your computer and sign it digitally, if applicable. If you have no digital signature available, please print, sign, scan, and email it, send it by USPS mail, or fax it to us.
 
(Media Order Blank is Publication # D-1)