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Nebraska's Comprehensive Research Library

Patrons with Disabilities
Authorized Users Form

The Authorized Users service is designed to allow patrons with disabilities to designate others to check out library materials using their NCard or IRIS record.

An Authorized Users Form is required to pick up Interlibrary Loan materials.

If you wish to assign new authorized users or renew your current authorized users, please complete this form and allow at least 24 hours for processing.

A paper version of this Authorized Users Registration Form is available at all circulation desks.

Complete the form and click submit to have it processed.


PATRON INFORMATION 
   
 Patron Name
 Email Address     
 Contact person    
 NCard or IRIS card number of disabled person

AGREEMENT
  • The use of an authorized user will be granted only to patrons with a current library record.
  • * The duration of authorized user privileges may not exceed one year.
  • All authorized users must be 18 years of age and must have or obtain a current library record.
  • All authorized user forms must have the NCard or IRIS card numbers for both authorized user(s) and patrons
  • Users are limited to five.
  • Any authorized user submission not meeting the terms of this agreement will be returned to the contact person of the corporation for correction.
  • Electronic submission of this form indicates an understanding of these policies and an agreement to comply.

AUTHORIZED USER INFORMATION 
 
Authorized User #1
 Authorized User Name          
 NU ID and ISSUE# or IRIS card number 
 *Expiration Date (not to exceed one year)


 

Authorized User #2
 Authorized User Name        
 NU ID and ISSUE# or IRIS card number  
 *Expiration Date (not to exceed one year)


 

Authorized User #3
 Authorized User Name       
 NU ID and ISSUE# or IRIS card number
 *Expiration Date (not to exceed one year)


 

Authorized User #4  
 Authorized User Name       
 NU ID and ISSUE# or IRIS card number
 *Expiration Date (not to exceed one year)


 

Authorized User #5    
 Authorized User Name      
  NU ID and ISSUE# or IRIS card number
 *Expiration Date (not to exceed one year)



QUESTIONS?
Any questions about this service should be directed to:
Circulation Services
106 LL
UNL City 0410
or by email to: dpearson1@unl.edu

Forms