Recorded Book Service

Copyright declaration

The State Library of Tasmania uses the Round Table on Information Access for People with Print Disabilities definition to ascertain who is eligible for the Recorded Book Service.

Library clients are eligible for the service if they:

• Are blind or vision impaired
• Have physical disabilities which limit the ability to hold or manipulate information in printed form
• Have perceptual or other disabilities which limit the ability to follow a line or print or affect concentration
• Cannot comprehend information in a printed form due to insufficient literacy or language skills
  

Signature: ....................................................................    Date: .......................

Authorisation eg General Practitioner; Social worker, Disability service provider, CEO of Nursing Home; name of authorizing institution (if approprate).

.......................................................................................    Phone: .......................

Personal Information Protection Statement

Personal information will be collected from you for the purpose of registering this client as a member of the Recorded Book Service. This information will be used by the State Library of Tasmania to manage your registration for meeting our obligations to copyright owners and for statistical and reporting purposes. Failure to provide this information will result in your client being unable to use this service. The personal information will be used for the primary purpose for which it is collected. Personal information will be managed in accordance with the Personal Information Protection Act 2004 and may be accessed by the individual to whom it relates on request to the State Library of Tasmania.

You can obtain a copy of the Department's Personal Information Protection Policy on request to the State Library or at:

http://www.education.tas.gov.au/deis/policies/pip/pippolicy.htm