For developer: this is a simple form in Phase I, unless the institution has Aeon (in which case it will use that).
Submit request
For developer: On the backend, it would be helpful if the e-mail that was sent would include the full descriptive entry or at least a link to it as well as the information that the patron provided. There would need to be some configurability in the content of the form, though, to fit with institutional services. (Note from Cory Nimer.)