At Home Service request

If you have questions or would like to apply by phone, please call the At Home phone line at 612-543-8850. Staff are available Monday through Friday, 10 a.m. to 5 p.m., except holidays.

Applicant information

Name

Street address

Apt or room #

City

Zip code

Date of birth

Phone

Are you unable to visit a library because of:

Illness
Visual Impairment
Disability
Other

If other, please describe:

How long do you need service?

How do you prefer to receive materials?

If volunteer, do you know someone who is willing to bring you materials?

Do you have a library card?

Yes

Library card number

What type of materials do you prefer?

Large print books
Regular print books
Audiobooks on CD
DVDs

To help us choose materials for you, please tell us some of your favorite authors, titles, or subjects:

Emergency contact information

Name

Relationship

Phone

Notes