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

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:

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:
Phone:
Email:
Course:
Section:
Semester:
Student name:
Student ID:
Date of Incident:
Type of Incident: Cheating / Plagiarism / Other
Description of the Incident:

Did the student to academic dishonesty? Yes / No / Student could not be contacted

Explanation:

Explanation of Recommended Sanctions

Signature of Faculty Member:
Date:
Resolution of the Case after Adjudication
Academic Sanction:

Disciplinary Sanction:

Signature of Academic Integrity Officer:
Date: