This form may be used by faculty and academic staff to register a student or staff member to check library materials out in your name.
This is not a submittable online form—it must be printed on UW-Stout or departmental letterhead to verify its authenticity and include your signature for authorization.
Instructions
- Download the Proxy Patron Authorization Form (in PDF).
- Print the form onto UW-Stout or departmental letterhead.
- Fill out the form with all necessary information
- Be sure to sign the form!
- Return the completed form to the Library Circulation Desk via campus mail (Robert S. Swanson Learning Center Room 123), via FAX (715-232-2618) or in person. This form cannot be submitted via email.
The names on this form can be changed at anytime, as can the expiration dates. To ADD proxies, simply send a new signed authorization. To REMOVE an authorization, call the Circulation Desk at 232-1215 or e-mail circulation@uwstout.edu.
Important
Check your patron record (click on the "Patron Info" Button) in the Stout Library Catalog regularly for misuse.
If you need assistance, please contact the circulation desk.
Last Updated: 06/13/2008 and Last Revised: 2005-11-15
Contact Library Webmaster for more information or help on this topic.