NRLF DEACCESSION FORM
1. Requestor __________________________________ 2. Date ________________________
3. Selector ___________________________________ 4. Phone# _______________________
5. Library ___________________________________ 6. Institution _____________________
7. Reason for deaccession:
To be retained in Special Collections
Duplication
Withdraw & replace
Withdraw & not replace
Selector’s signature: _______________________________________________
(To show compliance with the Persistent Policy, the
Selector’s signature is required.)
8. Bibliographic Information: Attach a copy of the record or fill in the following information:
a. Title of item or set
b. Call Number: c. Shelving Unit:
9. Item Information: Indicate which one of the three deaccessioning options you are requesting for this title:
” Item(s) to be deaccessioned are lost.
Complete 10 a
& b for each item.
” Item(s) to be deaccessioned currently located at NRLF.
Complete 10 a & b for each item.
” Item(s) to be deaccessioned currently in the hands of owning unit staff or other authorized staff. Requestor will keep the item(s) and do the following for each physical item:
a. Remove the NRLF bar code and attach it in 10 (a).
b. Indicate any vol. information in 10 (b).
c. For
volumes, record the spine width (to
the nearest 1/4" rounding down), For non-book items (boxes, packages, bundles, etc.), record the dimensions (LxWxH) in 10 (c).
10. (a) (b) (c)
Barcode #/Label Vol
info. Spine Width (nearest ¼”)
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Form: NRLF/Dep Svcs