Ala. Admin. Code r. 520-3-1-C
APPENDIX C
ALABAMA RESIDENT’S REQUEST FOR RECONSIDERATION OF
LIBRARY MATERIAL
MATERIAL TYPE:
▢ Book ▢ Periodical ▢ Other _______________________________
Title: ______________________________________________________________
Author: _____________________________________________________________
Publisher (if known): _______________________________________________
REQUEST SUBMITTED BY:
Name: _______________________________________________________________
Address: ____________________________________________________________
City/State/Zip: _____________________________________________________
Phone: ______________________________________________________________
E‑mail: _____________________________________________________________
1. Do you represent:
▢ Self
▢ Organization (name)______________________________________________
▢ Other (name) ____________________________________________________
2. Are you a state employee?
▢ Yes (Agency: ________________________________) ▢ No
3. Did you borrow this item through another library?
▢ Yes (Library: ________________________________) ▢ No
4. To what in the work do you object? (Please be specific. Cite pages.)
______________________________________________________________________
______________________________________________________________________
5. Did you read the entire work? ▢ Yes ▢ No
If not, what parts? ______________________________________________________________________
______________________________________________________________________
6. What do you feel might be the result of reading this work? ______________________________________________________________________
______________________________________________________________________
7. What do you believe is the theme of this work?
______________________________________________________________________
______________________________________________________________________
8. What would you like your library to do about this work?
______________________________________________________________________
______________________________________________________________________
9. In its place, what work would you recommend that would convey as valuable a picture and perspective of the subject treated?
______________________________________________________________________
______________________________________________________________________
10. For further comment, use space below.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Signature: __________________________________________________________
Date: _______________________________________________________________
MAIL TO: Office of the Director; Alabama Public Library Service; 6030 Monticello Drive; Montgomery, AL 36130
Author: Nancy C. Pack, Director
Statutory Authority: Code of Ala. 1975, §§41-8-(1-10).
History: New Rule: Filed December 10, 2018; effective January 24, 2019.