Department of Labor & Industries Safety & Health Video Library PO Box 44607, Olympia, WA 98504-4607 Phone: 1-800-574-9881 FAX (360) 902-5675
Safety & Health Video Library
The earlier you request, the more likely you are to get your reservations. Plan early for seasonal topics. You can book up to 6 months in advance. Processing your video request requires advance notice by 3:00 PM at least 8 calendar days prior to your show date.
Borrower ID Number Phone Number
New number ?
Name Business Name Street Address, City & Zipcode (must be Washington state address) New address?
Format Preference: VHS only DVD only Both, my preference is VHS DVD Not every title is available in DVD. Before ordering, search online for DVD titles, at http://videos.lni.wa.gov Video ID Number List desired show date and alternate date
If not available on desired dates,
then as soon as I can get it.
Yes Yes Yes Yes Yes No No No No No
Any other info, e.g. Is it OK to switch videos requested, just so 1 video per date is reserved? Yes No
(Library Use Only)
Confirmed Show Date
V V V V V List alternate video choices below. V V V V LIBRARY RESPONSE CODES:
Yes Yes Yes Yes
No No No No
N/A F/S W/D N/B -
Not available for dates listed Limited to 5 videos per show date Withdrawn from collection Can only book six months in advance
F417-206-000 safety & health video library reservation form 12-2007