Proxy Borrower Application Proxy Borrower Application The proxy borrower privilege is a service that facilitates research and coursework by allowing designated individuals to check out library materials on behalf of faculty members, undergraduate or graduate students who are registered with the Disability Resource Center or staff who are registered for accommodation with UF’s Office of ADA Compliance. This privilege extends to all UF Libraries. Instructions Review Proxy Borrower Policy for activation of the proxy borrower card. Complete the information for the sponsoring patron/primary account holder Select option for receiving the proxy borrower card: Sponsoring patron will pick up the card An assigned proxy will pick up the card The card should be mailed to the sponsoring patron Terms of Agreement* I agreeBy checking this box, I (the sponsoring patron/primary account holder), agree to the terms and use described in the Proxy Borrower Policy, and that I am responsible for all materials loaned to my account by use of the proxy borrower card. If this card is lost, stolen, or no longer needed, it is my responsibility to notify the Libraries in order to deactivate the card.Sponsor's InformationName* First Last UF-ID*8 digit UF-ID number (example: 0000-0000)Email Address* (example: email@example.com)Birth Month/ Day (MM/DD)--For verification of account*Phone Number*UF Affiliation*FacultyStudentStaffOnly current UF faculty, students, or staff may serve as Proxy Borrowers, and must present their own, current UFID card prior to borrowing materials on behalf of the Sponsoring Patron. The Libraries will confirm accommodation registered with the Disability Resource Center or with UF’s Office of ADA Compliance.Pickup InformationSponsoring Patron Pick-Up I, the sponsoring patron will be picking up the proxy borrower card at:Sponsor pick-up locations*Library WestMarston Science LibraryHealth Science Center LibraryEducation LibraryArchitecture & Fine Arts LibraryProxy Borrower Pick-Up A proxy borrower assigned by me will be picking up the proxy borrower card at:Proxy Borrower pick-up locations*Library WestMarston Science LibraryHealth Science Center LibraryEducation LibraryArchitecture & Fine Arts LibraryName of proxy borrower pickup the card* First Last @ufl.edu address of proxy borrower* Email address (example: firstname.lastname@example.org)Phone number of proxy borrower*Mail me the Proxy Borrower Card The proxy borrower card should be mailed to meMailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please allow 2-3 business days for processing. You (and/or your designated proxy) will be notified when your proxy card is available for pickup, or when it has been mailed to you. If you have chosen to receive your card by mail, please confirm receipt by emailing Library West at email@example.com.