Fine/Fee Appeal Form | PCOM Library

Use the following form to appeal a library fine or fee.

Program: If you have selected "Other" please specify your affiliation with PCOM: Campus:

If you have previously discussed your fine, please provide the staff member's name (optional): Date discussed (optional):

Fine/fee amount(s) you are disputing:

Please list barcode and amount for each dispute; this information can be found in your fine/fee notice, or you can obtain a copy of your fine statement from the library circulation desk.

Reason for appeal:

Clearly state why you feel that your fines should be adjusted or cancelled.

If you are claiming extenuating circumstances, appropriate documentation should be provided in Word or PDF format as an additional attachment to this form.