K-State Libraries 
Great Room Mural

K-State Libraries
Disputed Return Form

The following form should be filled out if you believe you have returned an item that is still checked out to your library account.

Name:

E-Mail Address:

Social Security Number:

University status: faculty graduate undergraduate other

The following item information is needed:

Title of Book:

Author:

Title of Magazine/Journal:
Volume/Issue/Year/Page numbers:

Article title:

Author:

K-State Libraries Call Number:

When Item was returned:

Where Item was returned:

Other items returned at the same time: YES NO

Are those items still charged to you: YES NO

spacer
Library Services for People with Disabilities