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iii. Judicial Hearing Notes
I have read and understood the above list of rights. If there was any question concerning any of the above rights, I have asked any questions and received clarification.
PLEASE INITIAL ONE OF THE BELOW OPTIONS:
• I have been formally notified of my rights, the alleged charge(s), and I am requesting that the administrative hearing be conducted at this time._________
• I have been formally notified of my rights, the alleged charge(s), and I am requesting that the administrative hearing be rescheduled for a later date._________
PLEASE INITIAL AFTER READING THE FOLLOWING STATEMENT
All decision letters will be sent to the students MyLIU email address. It is the responsibility of the student to check their MyLIU email address, in a timely fashion, for updates regarding their status in the judicial process.
Initial Here:____________
Print Name: ____________________________
Signature: ____________________________
Date: ______________
JUDICIAL HEARING NOTES
STUDENT NAME: ___________________________________ CASE NUMBER: __________________ TODAY’S DATE: __________ INCIDENT DATE: __________ JUDICIAL BODY: ___________________
