LITS Fine appeals form
Please fill out this form if you would like the circumstances surrounding any library fines to be reviewed by the LITS Fine Appeals Committee. Contact
with any questions.
University ID or library barcode
Please choose your status
Mount Holyoke Student/Staff/Faculty
Four College Student/Staff/Faculty
Title of item in question
Amount in question
Reason for appeal
Date(s) fine accrued
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This form was created inside of Mount Holyoke College.