2. 
4. Request for Reconsideration Form

   The Board of Trustees and the Library Director have approved the use of this form if any Cohasset resident is concerned about any material in the Paul Pratt Memorial Library’s collection. The person making the request must complete and submit this form. The Library Director will review the form and respond to the person making the request. 

6. Title of Material*
7. Author*
8. Call Number
9. Publisher
11. Format*

    1. Book
    2. Magazine/ Newpaper
    3. DVD/ Blu-ray
    4. Audiobook/ Book on CD

    1. Music CD
    2. Downloaded Item
    3. Database Item
    4. Something else
13. Request initiated by:
15. Name*
16. Email Address
18. Address*
20. City*
21. State*
22. Zip Code
24. Phone Number*
25. Preferred contact method? *
    -- Select One --MailEmailPhone
27. Are you filing out this form:*
    -- Select One --As an individualOn behalf of a group/origination
28. Name of Organization
30. Reasons for filing the request (please be as specific as possible):
32. 1. What brought this title to your attention? *
34. 2. What in the work do you object to? Please cite pages (or timestamps for audiovisual works). What do you believe might happen if someone reads, views, or listens to this work? *
36. 3. Did you review the entire work? If not, what parts did you review? *
38. 4. In your opinion, how does this work comply, or fail to comply, with the Paul Pratt Memorial Library’s Collection Development Policy?*
40. 5. Please suggest other resources that could provide similar information on this topic to the community. What material of equal or better quality on this subject would you recommend? *
42. 6. Do you believe that other people should have the right to decide what materials and information are available for you and your family to access? If so, why? If not, why not? *
44. You will be contacted by the Library Director regarding your request.
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field