NDLA Challenge Incident Reporting Form
Please fill out this report as soon as possible after each challenge to confidentiality of library records or library material. This will enable the NDLA Intellectual Freedom Committee (IFC) to offer assistance, should you desire it. In addition, the information you provide allows the IFC to spot any systematic attempts to challenge confidentiality of records across the state.

Challenges are reported to NDLA membership in the IFC's annual report. The report does not identify specific incidents or libraries. Data about challenges is occasionally requested by outside researchers (e.g., academics studying censorship). If you do not want any identifying information to be shared with these members of the public, you may indicate at the end of the survey that you want your response to remain completely private.
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Email
Please be mindful of Open Records standards and consider using a personal email address if you want to keep communications with NDLA confidential
Institution Name:
Your Name/Contact Person:
Phone Number:
Are you reporting a materials challenge or a request for library records? *
Briefly describe the challenge or records request: *
What was challenged? Please list any books, databases, programs, films, etc. that were challenged.
Is the challenger/requestor acting alone on behalf of a group? If so, which group? *
Does your library have a formally approved materials challenge policy/records confidentiality policy?
Clear selection
Do you want this report to remain private? If you select the checkbox below, we will not share any identifying information from this report with the public.
Would you like someone from NDLA IFC to contact you? *
Are there any services or resources that NDLA IFC could provide to support you right now?
Submit
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