Appendix F: Report the Incident to the BPC
Name of school library, public library, bookstore or other institution:
Address:
Contact Person:
Phone:
Fax:
E-mail:
Title(s) of book or magazine challenged:
Author:
Publisher:
When did the challenge or seizure occur?
Was the incident a Canada Customs detention____ or seizure____ ?
If a detention, was the material ultimately released? Y / N
After how long?__________
Did you appeal? Y / N
Please attach a copy of the Form K 27.
Were you visited by police? Y / N
Charged? Y / N
If challenge was from a private individual or organization, please indicate the nature of the challenge:
Origin of challenge:
Was an organization involved?
Reasons for challenge/seizure:
Did your organization have an established policy to respond to the challenge at the time it was posed? Y / N
If yes, please attach a copy.
Was the procedure followed in this instance? Y / N
Disposition of challenge:
Further comments (use separate sheet if required):
Please return to: Freedom to Read Week Case Studies, Book and Periodical Council, 192 Spadina Avenue, Suite 107, Toronto, Ontario M5T 2C2, or fax to 416-975-1839.
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