Western Libraries Proxy Borrower Authorization Form

Wed hours: 8:30 am - 4:30 pm
Include your Department and Mail Stop

Responsibility Statement:

I authorize Proxy Borrower above to borrow books under my name, in my absence, at the Circulation Services Desk of Western Libraries. I understand that the proxy will be required to show their own piece of picture identification. I accept full responsibility for any books borrowed by my proxy during the authorized period of affiliation.