Homebound Delivery

The Palatine Public Library District offers materials delivery service to patrons who are valid Library District cardholders and are unable to come to the Library for a minimum of 30 days due to a temporary or permanent disabling condition.

Eligible patrons may complete a Homebound Delivery Service application form and submit it to the Homebound Services Coordinator.

For more information, call Ivan Sanchez at 847-907-3600, ext. 160

Read Policy 3-13: Homebound Services.

First Name

Last Name

Street Address

City

Zip Code

Phone Number

Email Address

Preferred Contact Method

by Phone

by Email

Palatine Public Library District Card Number

Emergency Contact Name & Phone Number

I agree to the following:

I confirm that I have read the Homebound Services Policy and that I am eligible for Homebound
Service.
I understand that library staff will use my library card account to check out materials on my
behalf and that a record of all items checked out to me will be retained by staff during my
participation in the Homebound Delivery Service program.

Main Library

North Hoffman Branch

Rand Road Branch

Homebound Delivery