Library Card Request

Licking County Library cards are only issued to residents of Ohio. *

I am a resident of Ohio
No, I am a resident of another state and understand I can not apply for a card.

First Name *

Middle Name *

Last Name *

Street Address *

City *

State *

ZIP *

Phone Number *

Email Address *

Gender *

Male
Female
Not Specified

Birthday *

PIN *

When my holds arrive: *

Call
Text
Email

I intend to use the 24-Hour Kiosk COTC Pataskala Campus | 24-Hour Kiosk Legacy Park Hanover *

Yes
No

I am an educator (daycare provider, school teacher, homeschool instructor) *

Yes
No

Please sign me up for the Library's eNewsletter to stay up to date on news and events *

Yes
No

Please send me information on supporting the Library through the Friends of Licking County Library *

Yes
No

I accept full responsibility for the use of this card and payment of fees charged to it. I will give immediate notice to the library of loss of card or change of address. *

Yes

Request a Library Card