PATLIST Request Form

RSA Online (Circulating) members only - to submit a PATLIST report request, just fill in the following information. You should receive a reply about the submitted report request within 3-5 working days.

Institution Contact Information

Institution:   
Contact:       
Phone:         
Fax:           
Email address:  (Required)

PATLIST Report Request Information

Patron Registation:  Active Expired Both

Limit PATLIST By Registration Date
Beginning Date: Ignore Last Month This Month Last Year This Year Specfic Date (MM/DD/YYYY):	Ending Date: Ignore Last Month This Month Last Year This Year Specfic Date (MM/DD/YYYY):

Limit PATLIST by Expiration Date
Beginning Date: Ignore Last Month This Month Last Year This Year Specfic Date (MM/DD/YYYY):	Ending Date: Ignore Last Month This Month Last Year This Year Specfic Date (MM/DD/YYYY):

Enter Borrower type codes (BTY) each separated by a comma,
or *ALL* for all BTYs:

Separate borrowers by Borrower type (BTY)?: Yes No

Borrower Status:

All
Good
Soft-Blocked
Hard-Blocked
Both Soft-
   and Hard-Blocked

Lines to Print:

Basic
Basic + Address
Basic + Stat Fields
All of the above

Sort Report By:

Patron ID
Patron Name
Patron SSN

Borrower Note Options
Print User Notes: Yes No	If Yes, print only borrowers who have User Notes?: Yes No

Special Instructions (No. of copies, delivery method, etc.):