Free F417-206-000 video library reservation form - Washington

File Size: 156.6 kB
Pages: 1
File Format: PDF
State: Washington
Category: Government
Author: Forms Management
Word Count: 259 Words, 1,431 Characters
Page Size: Letter (8 1/2" x 11")

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Department of Labor & Industries Safety & Health Video Library PO Box 44607, Olympia, WA 98504-4607 Phone: 1-800-574-9881 FAX (360) 902-5675

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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?

Fax Number

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 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Not available for dates listed Limited to 5 videos per show date Withdrawn from collection Can only book six months in advance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