Appeal Form

Media Loan policy requires we assess charges for overdue equipment as well as lost, damaged and non-returned equipment and accessories. If you feel you have been charged incorrectly or unfairly, please use this form to explain your particular circumstances and what you feel would be fair and equitable.  Please refer to Media Loan's Policies for more information about Late Fines and charges for damaged or lost equipment. 

Users who appeal their charges should allow time for a response. Generally, Media Loan's appeal process may take from 2 to 4 weeks. A decision regarding your appeal will be sent to the email address submitted in the form below.

Billing is done by Student Accounts. Questions about charges are handled by Media Loan staff. Users who want to appeal the decision of Media Loan staff may appeal the decision to the Media Services Manager within 14 calendar days of email notification of decision from Media Loan. Appeals of decisions by the Media Services Manager must be made in writing within 20 calendar days to the Dean of Library and Media Services.

Appeal process instructions:

1. Charges must be appealed using this form and submitted to Media Loan within 30 calendar days of notification date from Student Accounts.
2. The Checkout Number (found on email notification of late return) or Invoice Number (available from my.evergreen.edu or Student Accounts) must accompany this appeal in the specified field.
3. Appeals must be and complete to be accepted.