Notification Form: Lost Library Passes

Notification Form: Lost Library Passes

For communicating with CA State Parks Pass Office regarding lost, misplaced, stolen, or unreturned Library Passes
Please complete the entire form, filling in all fields. Then click the "Submit" button at the bottom to send your notice to CA State Parks. Thank you.

Note: required fields are marked with *

Questions? Send an email to parkspass@library.ca.gov
Reporting Library Section
Branch Name*
Jurisdiction
Contact Name (first and last)*
Phone Number for Contact Person*
Please enter a valid phone number.
Email Address for Contact Person*
example@example.com
Library Pass Details
The barcode to be reported on this form is the CA State Parks barcode (from the front of the pass) not the library-related barcode.
State Parks Barcode *
Replacement Needed?*

YesNo
Should be Empty: