Date:
To:
Position/Title:
Department:
Institution:
Subject: Formal Complaint of Academic Misconduct
Dear
I am writing to formally submit a complaint regarding alleged academic misconduct. The details of the incident are as follows:
Name(s) of individual(s) involved:
Course/Subject (if applicable):
Date(s) of incident:
Description of the incident:
Evidence supporting this complaint:
Have you discussed this issue with anyone else? If yes, please specify:
Desired outcome or action requested:
Sincerely,

Name:
Student/Staff ID (if applicable):
Contact Information: