USM Request for Review

Your Information

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Your name:

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Date of incident(Required):

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Reasons for Requesting a Review

Case number (The case number can be found within your outcome letter)(Required) This field is required.

Please fill in the below field if you believe that the evidence did not warrant a finding of responsibility. Complete separate information for each violation in which you are requesting a review. If this does not apply to your case, write N/A.(Required) This field is required.

Please fill in the field below if you are believe the sanction(s) is not appropriate for the violation. Please state the sanction for which you are requesting a review and why you believe it is not appropriate. If there is more than one sanction you are contesting, please address each one separately. If this does not apply to your case, please write N/A.(Required) This field is required.

Please fill in the field below if you believe the hearing officer did not follow the appropriate hearing procedures outlined in the Student Conduct Code. Please indicate what specific procedure(s) was (were) not followed. If this does not apply to your case, please write, N/A.(Required) This field is required.

Supporting Documentation

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Email me a copy of this report

Your Information

Reasons for Requesting a Review

Supporting Documentation

Submission