DATABASE MANAGEMENT (516) 292-8920 X265 FAX (516) 292-8944

ERROR REPORTING FORM

INSTRUCTIONS :

1. Complete entire form and return to DBM.
2. Use one form per record (multiple problems on one record, use one form).
3. Print or type clearly. Underline parts to be changed.
4. Staple photocopy for proof of changes.
5. If no proof is attached, cite authority for requested change.

DBCN ___________________________

AUTHOR (1xx) _________________________________________________________

TITLE (245 $a) _________________________________________________________

Tag no.	Text from record Request change
Tag no.	Text from record Requested change

Reported by (Library name) _______________________________________________

Submitted by (Your name) ________________________________________________

Date ______________________ Phone ________________________________