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Interlibrary Loan Request
Borrower Name
First Name
Last Name
Home Address
Home Address
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Phone
Email
Preferred contact method
Phone
Email
Library Card Number
Date beyond when material will not be useful
Type of material requesting?
Book
Periodical/Microfilm
Audiobook
CD
DVD
Periodical/Microfilm Information
Article title
Author (Last Name, First)
Periodical
Volume
Number
Pages
Publication Date
ISSN
Book Information
Title
Author (Last Name, First)
Publisher
Copyright Date
ISBN
Audiobook Information
Title
Author (Last Name, First)
Publisher
Copyright Date
ISBN
CD Information
CD Title
Artist / Band
Release Date
Additional Information
DVD Information
DVD Title
Director(s)
Release Date
Additional Information
Are you willing to pay additional fees if the lending library requires it?
No
Postage only
Yes
If yes, what is the maximum amount you are willing to pay
Pick up location
- Select -
Central
Central Pick Up Window
East Side
Forest Avenue
Franklin Avenue
Franklin Pick Up Window
North Side
South Side
I acknowledge that:
I am responsible for paying any additional fees imposed by lending library.
Fees will be posted to my library account.
I am responsible for lost and damaged charges.
I am a resident of Des Moines, Windsor Heights, or rural Polk County
I agree to the terms and conditions of the Des Moines Public Library’s Interlibrary Loan service.
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