TEXTBOOK CONDITION FORM
All students who check out a textbook, MUST fill out this form!
Email address *
First Name *
Student
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Last Name *
Student
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Student ID# *
Your answer
Subject *
Class
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Period *
Teacher *
Last Name, First Initial EXAMPLE: Dalak, B
Your answer
Title of Book *
Your answer
Book Accession # *
Your answer
Check Appropriate box or boxes *
Required
List Damages
include page number (i.e. torn pages, soiled, writing, water damage, etc.)
Your answer
LISD BOOK FINES AND REPLACEMENT COSTS
RESPONSIBILITY FOR BOOKS

The student, parent, or guardian will be responsible for the proper use and care of textbooks. They are responsible for stolen, lost, or damaged textbooks and are required to pay the school for any replacements or fines. (Education Code 31.104)

FINE of $10.00 for minor damage to the binding, outer cover, or writing on the outer edges of book pages, and for damaged pages to include but not limited to: torn, soiled, or written on.

FINE of $17.00 to replace a textbook cover that has been extensively damaged (this includes discoloration and damage to the cover caused by using book covers not provided by the district).

FINE of $5.00 for replacement of the barcode that was defaced or removed if the student can verify the book was issued to him/her.

FULL PRICE of book for water damage, graffiti, excessive markings, missing pages, lost, stolen, broken binding, removing the tracking number or barcode if student cannot verify the book was issued to him/her or any book deemed unusable by Campus Coordinator.

I have read and understand the above statements. *
Required
A copy of your responses will be emailed to the address you provided.
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