Request for Reconsideration Review

Before filling out this form, please speak to the Library Manager of your local branch. If you have not yet done so please visit our branches page to contact them directly.

Name*
First Last
Address*
Please provide your (or your institution's) primary address.

Street Address Address Line 2 City Province Postal Code
VIRL Library Card Number*
e.g. 23119xxxxxxxxx
Home Library Branch*
Please indicate which branch your home library branch.
Email*
If representing a group or organization, please identify
Item Title*
Author/Creator
Format
Have you read/viewed/played the item in its entirety?
- Yes
- No
If not, what parts did you review?
What is your objection to this work? Please be as specific as possible.
Do you feel that the work contains anything of value?
- Yes
- No
What actions are you recommending?
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