Academic Integrity Violation Report
(Option B)

This form can be completed online, printed and signed or is available in PDF format.

The instructor must notify the student prior to sending this form to the Provost's Office:
Method of Contact: (check all that apply)

Instructor's Signature: _________________________________ Date: __________

Send this form, hard-copy only, with all accompanying information and evidence, to the Office of the Provost, 114 Jesse Hall.