Nominate a Proxy borrower

If you are a student registered with Disability Services you can use this form to nominate a proxy borrower. This individual will be able to borrow books on your behalf at the Helpdesk. Please be aware that all books and any fines accrued remain your responsibility. You can cancel your proxy borrower arrangement at any time by emailing library at warwick dot ac dot uk; otherwise, this arrangement will remain in place up until the end date you indicate on the form.

Full name

University ID

Name of proxy-borrower *

University ID of proxy borrower *

End date *

* indicates a required field

Privacy statement

The data collected on this form is confidential, and will only be accessed by library staff in order to set up a proxy borrower. The information not be kept after the proxy borrower arrangement has ended.

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