Carnegie Library of Pittsburgh Materials Reconsideration Request Name ________________________________________________ Date ___________________________ Address _______________________________________________________________________________ _______________________________________________________________________________ Phone _______________________________________________ Author _________________________________________________________________________________ Title ___________________________________________________________________________________ CLP Call Number ________________________________________________________________________ ❑ Book ❑ Sound Recording ❑ Magazine ❑ Video ❑ Other Why do you feel this item should not be in the collection at CLP? ________________________________________________________________________________________ _________________________________________________________________ Did you read, hear, or view the item in its entirety? _____Yes ______No What specific pages or section of the item illustrate your point? ________________________________________________________________________________________ ________________________________________________________________________________________ Would you regard the item as appropriate for any age group? If so, which? ________________________________________________________________________________________ Other comments that would be helpful to the committee reviewing this request? ________________________________________________________________________________________ ________________________________________________________________________________________ Form accepted by ___________________________ Department/Branch ____________________ STAFF USE ONLY FORM #210 REVISED 2008 Please return this completed form to any Carnegie Library of Pittsburgh location.

Materials Reconsideration Request · Materials Reconsideration Request ... Other comments that would be helpful to the committee reviewing this request? _ _ Form accepted

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Carnegie Library of Pittsburgh

Materials Reconsideration Request

Name ________________________________________________ Date ___________________________

Address _______________________________________________________________________________

_______________________________________________________________________________

Phone _______________________________________________

Author _________________________________________________________________________________

Title ___________________________________________________________________________________

CLP Call Number ________________________________________________________________________

❑ Book ❑ Sound Recording ❑ Magazine ❑ Video ❑ Other

Why do you feel this item should not be in the collection at CLP?

________________________________________________________________________________________ _________________________________________________________________

Did you read, hear, or view the item in its entirety? _____Yes ______No

What specific pages or section of the item illustrate your point?

________________________________________________________________________________________

Would you regard the item as appropriate for any age group? If so, which?

________________________________________________________________________________________

Other comments that would be helpful to the committee reviewing this request?

________________________________________________________________________________________

Form accepted by ___________________________ Department/Branch ____________________

STAFF USE ONLY

FORM #210 REVISED 2008

Please return this completed form to any Carnegie Library of Pittsburgh location.