UF Libraries Proxy Borrower Application

This request is for the library to grant borrowing privileges. Requests will be reviewed by the Library Administration. Please allow 1 business day for processing.
Primary Card Holder Information:
Name	A Name is required.
UF-ID	An UF-ID number is required.An UF-ID number is required.
Campus Phone Number	A Phone number is required.
Email address (email@any.edu)	An email address is required..
Status	Faculty Patron with a disability Please make a selection.
Policy Agreement	Please check to confirm. I UNDERSTAND all rights and responsibilities related to library privileges. I will be held financially responsible for the materials borrowed and the charges incurred on my library account by the Proxy Borrower listed below. BY CLICKING "I AGREE", YOU ARE AGREEING TO THIS POLICY AND IT CONSTITUTES YOUR LEGALLY BINDING SIGNATURE. WE ARE RELYING UPON YOUR AGREEMENT IN MAKING AVAILABLE THESE SERVICES YOU SHOULD EXIT NOW IF YOU DISAGREE WITH ANY OF THE TERMS CONTAINED IN THIS AGREEMENT.
Initials	Initials are required.Initials are required.
Date (mm/dd/year)	A date is required.Invalid format mm/dd/yyyy.
Proxy Borrower Information:
Name of Proxy Borrower	Name of Proxy is required.
UF-ID of Proxy Borrower	The Proxy's UF-ID number is required.

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