Lost Item Report Form

KCMLIN policy regarding missing items generally follows the American Library Association Interlibrary Loan Code for the United States, which states:

4.9 The requesting library is responsible for borrowed material from the time it leaves the supplying library until it has been returned to and received by the supplying library. This includes all material shipped directly to and/or returned by the user. If damage or loss occurs, the requesting library is responsible for compensation or replacement, in accordance with the preference of the supplying library.

Please complete the information below and MALA/KCMLIN will make every effort to locate the items that are missing.   We have found through experience the items are generally located at one of the participating libraries on the courier service.  Thank you.

Contact Name:
Contact Phone:
Contact Email:
Owning Library:
Borrowing Library:
OCLC Request Identifier (if applicable):
Lost When Sent Lost When Returned
Material Type:
book audio visual serial other, please describe:
Other Material Type:
Item Title:
Item Author:
Item Call Number:
Date Sent:
Date Lost:
Name of Supplier for Replacement:
Replacement Value:
Who and Where to Send the Check: