About Library Accommodation Requests

In order to make the arrangements for accommodation, requests must be received by the library up to 10 days in advance of the date of the event for which the accommodation is needed. All contact information must be completed, incomplete forms may hinder the library's ability to provide the appropriate accommodation in a timely manner.

For more information, speak with a library manager or call (650) 829-3876.

Accommodation Information

Library Program / Event (if applicable):

Date:

Time:

Type of Accommodation Requested:*

Sign Language Interpretation

Other

If other, please explain:

Patron's Information

Patron or Service User's Name:*

Patron or Service User's Legal Guardian / Representative

Address:*

City:*

State:*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code:*

Signature

Typing the patron / service user's or legal guardian or representative's name below is the equivalent of a signature.*