W.E.B. DuBois Library
University of Massachusetts - Amherst, MA
FINES APPEAL FORM

NAME:
ADDRESS:
PHONE:
E-MAIL:
NEW PEOPLE SOFT#:
OR
STUDENT ID#:

(Please check one of the below)
UMass Student/Staff/Faculty
4-College Student/Staff/Faculty
State Borrower
Amount being appealed

Information on the appeal