Proxy Patron Request Form for UWM Faculty and Staff

Proxies for UWM faculty and staff (both active and retired) may check out materials on behalf of a faculty/staff member. Items which are checked out by the proxies for the faculty/staff member appear on the faculty/staff member’s personal record in PantherCat. The faculty/staff member is responsible for all materials checked out by a proxy in this manner. 

To request someone be a proxy, please provide the information requested below.  All fields are required, including the end date for the proxy relationship. It is the faculty/staff member’s responsibility to notify the UWM Libraries should a proxy relationship need to be terminated prior to the date provided here.  To renew or extend a proxy simply fill out a new form with the new end date desired.  The Circulation Desk of the UWM Libraries will send an email confirmation, usually within 3 days, that the proxy request has been received and processed.    Proxy requests may also be made in person at the Main Circulation Desk. 

 

Faculty/Staff information:

Full Name:

ePanther ID:

Telephone:

Department:

 

Please list up to three individuals who will be your Proxy at the UWM Libraries (That is the maximum for one single Proxy Patron request.  If you require more Proxies, please make a second request)

Proxy Patron #1:

Proxy Name:

Proxy ePanther ID:

End Date (MM/DD/YYYY):

Proxy Patron #2:

Proxy Name:

Proxy ePanther ID:

End Date (MM/DD/YYYY):

Proxy Patron #3:

Proxy Name:

Proxy ePanther ID:

End Date (MM/DD/YYYY):

Confirmation will be sent to your UWM e-mail address within 3 days. For questions, please contact UWM Library Circulation desk staff at (414) 229-4132 or e-mail libcirc@uwm.edu.