The Board of Trustees of Ogdensburg Public Library has established a materials selection policy as well as a procedure for gathering input about these materials. Completion of this form is the first step in that procedure. If you wish to request reconsideration of a resource, please return the completed form to the Executive Director.


Date ______________________
Name________________________________________________________
Address_______________________________________________________
City ______________________    State ______________  Zip ________

Phone _________________________     Email _______________________
Do you represent yourself? ____ Or an organization? ____

Name of Organization_____________________________________________


1. Resource on which you are commenting:
___ Book (e-book)
___ Movie
___ Magazine
___ Audio Recording
___ Digital Resource
___ Game
___ Newspaper
___ Other
Title_________________________________________________________
Author/Producer_______________________________________________


2. What brought this resource to your attention?


3. Have you examined the entire resource? If not, what pages did you review?

4. Tell me what page(s) or chapter concerns you?  Chapter mark, minute mark or scene in audiobooks?  For movies what scenes or what part of the movie?


5. Are there resource(s) you suggest to provide additional information and/or other viewpoints on this topic?


6. What action are you requesting the committee to consider?

Reviewed and no action ________          Date________

Reviewed and sent to trustees ________ Date ________

Reviewed and response to sender _____ Date ________

Approved by the Board of Trustees on: February 4, 2026