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Application for Homebound Services

Homebound Services is a free monthly delivery service of Ottawa Public Library materials that is offered to Ottawa residents. If you are unable to regularly visit a library branch due to age, illness, or disability you may be eligible to register for this service.

What is the reason for requesting delivery of library materials?
I confirm that I am unable to visit my local library for a minimum of 3 months due to one or more reasons below. Check all that apply.
Your contact information
Are you currently an Ottawa Public Library cardholder?
Do you have access to a vehicle?
Do you have someone available to pick up library materials?
Alternate contact

Is there an individual or organization whom we can contact if we cannot reach you directly, such as a friend, family member, or facility staff? Please provide their contact information below:

Selections / Placing Requests
Titles or categories
Selection criteria
Please share as much information as possible about your reading preferences so that staff can select based on your interests. (Selection depends on availability.)
Preferred reading format(s)
Indicate your preferred reading format(s) and quantity of each that you would like us to include per month.
Regular Print
Large Print
Audiobooks
Music CDs
DVDs
Magazines
Graphic Novels
Video Games
Preferred fiction genres
Preferred non-fiction subjects
Are you interested in receiving titles that you have previously read?
Homebound Services keeps a reading history to help us choose materials you will like and to prevent us from repeating what we send you.
Example: 1 year or older
The personal information requested for your library card is collected under the authority of the Public Libraries Act. The information collected will be used in the day-to-day operations of the library.

The personal information on this form is collected under the authority of the Public Libraries Act and the Municipal Freedom of Information and Protection of Privacy Act. This information will only be used for the proper administration of the Library and the provision of Library services and programs by Ottawa Public Library. Questions related to the collection of this personal information should be directed to the CEO’s office, Ottawa Public Library, 191 Laurier Ave West, 4th floor, Ottawa, ON, K1P 1E7.