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Center for Student Rights and Responsibilities
SDSU Student Affairs

Discipline Referral Form

Once you have completed the report in its entirety, PRINT THIS FORM and hand deliver to SSW-1604 or send through inter-campus mail to The Center for Student Rights and Responsibilities, MC-7443. Please include all supporting documentation with written referral.



Referring Party Information






Incident Information

of alleged violation

for the alleged violation


If alleged conduct occurred in class,
:




(Please include names of all involved including witnesses.)


Once you have completed the report in its entirety, and hand deliver to SSW-1604 or send through inter-campus mail to The Center for Student Rights and Responsibilities, MC-7443. Please include all supporting documentation with written referral.