Appendix F--- Request for Exemption from Disposal Guidelines

Request for:

q       Deadline extensions/permission to submit in bye month

q       List longer than fifteen pages

q       Change of format of list

q       Special circumstances

Please give details below, including relevant dates, number of pages, and circumstances.

Approved by regional library:                                                                                           date

Not approved by regional library:                                                                          date

This form must be signed by a representative of the regional library and returned to the requesting library before permission is granted. Exceptions to discard procedures as outlined in the Michigan Plan for the Federal Documents Depository System will not be considered otherwise.

APPENDIX F--- Memorandum of Agreement

for the Selective Housing of Materials by (lending) Library

to (receiving) Library

The (lending) Library agrees to loan the (receiving) Library specific federal government publications. The purpose(s) of this transfer of materials is (are) to

The government information will be loaned for (specific time) but will remain under the authority of the (lending )Library, and, ultimately, the property of the U.S. Government Printing Office.

The following conditions must be met in the pursuance of this Agreement:

The (receiving) Library shall:

1)       Assign the responsibility for carrying out the provisions of this Agreement to the (reference, medical, etc.) Librarian.

2)       Make available all government information free to the clients of the (receiving) Library, as well as to the general public.

3)       Lend to the (lending) Library any individual document title for the purpose of circulation, or any other purpose, for a period of (specify: days, weeks, months)

4)       Maintain each document in compliance with all applicable depository laws, instructions, standards and guidelines (Title 44, U.S. Code; Instructions to Depository Libraries; Guidelines for the Depository Library Program)

5)       Inventory, identify and maintain a separate list of government information by title, by Superintendent of Documents Classification, or by (receiving) Library classification scheme.

6)       Retain classification numbers, stamps, and notes on each document as supplied by (lending) Library.

7)       Return to the (lending) Library all documents which are no longer considered useful. All (receiving) Library labels will be removed by (receiving) Library staff.

8)         Replace any lost document. If the document cannot be obtained free, the (receiving) Library will assume all costs and obligations to acquire the lost document. The (receiving) Library will pay the (lending) Library the fair market value for any document not replaced.

The (lending) Library shall:

1)       Transfer and continue to send documents that include, but are not limited to, the (publications of specific agencies, series, subjects, etc. ) to the (receiving) Library.

2)       Keep records indicating the location of government information involved in this Agreement.

3)       Return within a (specify: days, weeks, months) time period all government information borrowed from the (receiving) Library.

4)       Place the Superintendent of Documents Classification number and the (lending) Library depository stamp on each document title.

The Agreement may be terminated by written notice from either party (specify) days in advance before all

government publications are returned to the (lending) Library.

Director

(lending) Library                                                                                                 Date

Director

(receiving) Library                                                                                               Date

Updated 2/21/2008