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Report Damaged Item

2. Item Type

   1. Book
   2. Audiobook
   3. Video

4. Type of Damage

   1. Torn Page
   2. Disc Won't Play
   3. Writing on pages
   4. Other

6. First Name

7. Last Name

9. Library Card Number

   If available include the 14 digit card number the item is checked out to.

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11. 1. Receive an email copy of this form.
12. Email address

    This field is not part of the form submission.

13. Submit

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