Library Borrowing and Returning Form
Please complete this form to record the borrowing or returning of library materials.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Library Card Number
*
Borrowing or Returning?
*
Borrowing
Returning
Title of Item
*
Author/Creator
Item ID / Barcode
*
Date of Borrowing
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Actual Return Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Condition of Item at Borrowing
*
Excellent
Good
Fair
Poor
Condition of Item at Return
Excellent
Good
Fair
Poor
Additional Comments
Staff Initials (for verification)
Submit
Should be Empty: