Proxy Borrower Application

Users with disabilities can fill out this form to designate someone to check out library materials in their name.

Please note:

  • Proxy Borrowers must know the Responsible Patron's CNM ID # and have a photo ID to borrow materials.
  • Responsible Patrons will be responsible for all library materials borrowed and/or fees or fines accrued by the Proxy Borrower in their name.
  • When the Proxy Form has been processed an email will be sent to the Responsible Patron and the Proxy Borrower for confirmation.
Responsible Patron
Enter information about the person requesting a proxy borrower.
Proxy Borrower
Enter information about the person who will come to the library to pick up materials.
Associated with CNM?  

Terms of Agreement