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Homebound Delivery Service Application

 

The Coquitlam Public Library delivers and picks up library materials to Coquitlam residents who are temporarily or permanently home-bound in private homes, residences, hospitals and care centers. Librarians select materials for you according to your preferences and needs. There is no charge for this service. All library materials are eligable. Individual service can be short or long term depending on need. 


Please complete the following questionnaire. All personal information is kept confidential and is required to determine program eligibility. Once completed, staff will contact you shortly to discuss service options. 

 

 

 

There are 25 questions in this survey.