Librarian's Report And Request For Assistance Form
The information provided in this form will be used by the Intellectual Freedom Committee to assist in resolving the censorship
challenge described.
Librarian:___________________________________________________________________________
Library Name:_______________________________________________________________________
Address:___________________________________________________________________________
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City:_______________________________ State:_____________________ Zip:__________
Telephone:________________________
Date of challenge:__________________
Description of incident and materials challenged. (Use back of form if more space is needed.)
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Has challenger filed a complaint reconsideration form? If so, please attach a copy._______________
IMPORTANT! Please detach patron information from complaint reconsideration form before sending to ALA.
What actions have been taken so far by the library?
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Has legal advice been sought?
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What type of assistance is sought from VLA or ALA?
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Has the library's governing body officially supported the Library Bill of Rights in this challenge?
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Does the Intellectual Freedom Committee have your permission to consult other concerned organizations or counsel about the details of this challenge?
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Signature___________________________________________________ Date __________________
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