Additional Borrower Authorization Form - New-York printable pdf download

New York University Libraries

Circulation Department

70 Washington Square South, New York, NY 10012

Phone: 212-998-2530

Fax: 212-995-4829

ADDITIONAL BORROWER AUTHORIZATION FORM

Policy Governing Additional Borrowers

An Additional Borrower is a designee who you sponsor to borrow library materials on your behalf. To sponsor an

Additional Borrower, you must be a NYU faculty member, administrator, or code 103 researcher currently registered

and in good standing with the library. Your Additional Borrower must also be currently registered to borrow with the

library.

Your Additional Borrower may check out books, renew books, and place holds or recalls on books on your behalf by

presenting his or her registered ID card at Circulation. All library records are protected by law, therefore your

Additional Borrower will not have access to your library account information unless you sign the authorization

(A).

statement at the bottom of this form

As the faculty sponsor, you are responsible for fines and fees associated with materials checked out to your account by

your Additional Borrower. Library notices will be mailed to you, not to your Additional Borrower.

(B).

Please specify an expiration date, not exceeding one full academic year, for your Additional Borrower

To extend

Additional Borrower status beyond this, you must renew your sponsorship by submitting another authorization form

when the expiration date is approaching.

(C)

Please note that your NYU ID number

is no longer your Social Security number. You can find your NYU ID

number located on the back of your ID card. It will begin with an N, and be followed by eight digits. We cannot

process this form without the NYU ID number of both you and your borrower.

Turn this form in to the Circulation desk at Bobst Library or fax it to Circulation at 212-995-4829

Faculty/Administrator Sponsor Information

Name:_______________________________________________ NYU ID#(C):______________________

Last name, First name

School/Department: _____________________________________________________________________

NYU telephone:____________________________ Email:______________________________________

________

Expiration Date for Additional Borrower (B):_________________

(not to exceed 1 year)

Signature:__________________________________________________ Date:______________________

Additional Borrower Information

Name:_______________________________________________ NYU ID#(C):______________________

Last name, First name

Signature:__________________________________________________ Date:______________________

(A):

Optional Section

I authorize the additional borrower above to have full access to the information in my library record.

Signature:__________________________________________________ Date:______________________

FOR LIBRARY USE:

Date Received:_____________ Processed by:______________

Additional Borrower Authorization Form - New-York

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