DDL Homebound Delivery Application
The DeWitt District Library offers home delivery once a month to residents living in library's service area who are unable to physically visit the library due to disability, accident, illness, or other mobility issues. Please complete this form to apply for this service. We will call you once it has been reviewed. If you have questions please call 517-669-3156 or email sbogner@dewittlibrary.org.
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Name *
Address *
Phone Number *
Email 
Do you have a disability that requires special accommodation? *
Required
Library Card Number (If you do not have a library card, please contact the library to apply.)
I give permission for DeWitt District Library to keep a record of the library materials sent to me in order to avoid duplication. This information is kept confidential within the department. I also acknowledge that I am responsible for materials delivered to me through the home delivery program. *
Required
Name of Emergency Contact *
Contact's Phone Number *
Do you authorize them to get information about your library account? *
Required
What are your preferred BOOK formats? *
Required
Would you like to receive other library materials in addition to books? Please check all that apply. *
Required
If you responded yes to the previous question, what kinds of movies, magazines, and/or music are you interested in?
Which FICTION genres interest you? Please check all that apply. *
Required
Which NONFICTION subjects interest you? Please check all that apply. *
Required
Please add any other comments such as favorite authors and titles or even things you haven't enjoyed - anything that could help us choose materials of interest. *
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