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13.1 Faculty Report Form for Suspected and/or Adjudicated Incidents of Academic Dishonesty

Faculty Report Form

It is necessary to complete this form to report an incident of suspected and/or resolved academic dishonesty. Make a copy for your records and forward the original, along with copies of all available supporting documentation, to the:

Office of the Academic Integrity Officer

CUNY School of Law

Room 4-106D, Telephone: (718) 340-4370

Instructor Name:

Dept.: Tel. No: email:

Course: Section: Semester::

Student Name: _ Student ID#:

Date of Incident:

Description of incident:

Signature of Faculty Member: Date:

Resolution of the Case after Adjudication

Academic sanction:      Disciplinary sanction:  

Signature of Academic Integrity Officer Date: 

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