Willmar Public Library At Home Services Application
After completing this form, library staff will contact you about setting up at home delivery.
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Applicant Information
Name (first and last): *
Address: *
Phone: *
Email:
Pioneerland Library Card Number
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Alternate Contact Person
Name/Relationship: *
Phone: *
Email
Eligibility Criteria
Are you unable to pick up materials at the library for a minimum of 30 days due to a disability or a health or mobility challenge? *
Do you live within the city limits of Willmar, MN? *
At Home Library Service Policy
The Willmar Public Library offers materials delivery service to patrons who are valid library cardholders, are unable to come to the Library for a minimum of 30 days due to a temporary or permanent disabling condition, and reside within the city limits of Willmar MN. Eligible patrons may complete an At Home Library Service application form and submit it to the Willmar Public Library for approval.

Upon approval, delivery will be scheduled at the mutual convenience of staff and patron, generally once per month. Materials will be delivered to the door, and no inside deliveries will be made. All library materials are available for home delivery except items with active holds. All library policies, including fees and limits, apply to those receiving homebound services; however, overdue fines will not be assessed when overdues occur because of the delivery schedule or because of events beyond the control of home library services clients.

Materials will be checked out on the card of the person receiving the service. The At Home Library Services Coordinator will maintain a record of all items checked out by a homebound patron for purposes of selecting materials for that person. Staff assisting the coordinator may also have access to this record. Home delivery service will terminate when the eligibility requirements are no longer met or at the request of the patron, patron’s parent or legal guardian, or an individual with power of attorney to act on behalf of the patron.

I have read and understand the At Home Library Services Policy. I understand that I am responsible for all materials delivered to me through this service.
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