Courier – Report a Damaged Item Form

Owning Library*
Borrowing Library*
Damage Direction*
- Damaged during Send
- Damaged during Return
Material Type*
Date Damaged*
MM slash DD slash YYYY
Damage Type*
Item Title*
Item Author
Item Call Number
Hidden
Estimated Replacement Cost*
Contact Name*
Phone*
Email*
Comments or Added Notes
Upload Images of Damage*
Drop files here or

Accepted file types: jpg, png, pdf, xlsx, xls, doc, docx, Max. file size: 10 MB.
Comments
This field is for validation purposes and should be left unchanged.