Academic Misconduct Reporting Form

In the event of an EMERGENCY, please do not use this form. Call LSUE Police (337-550-1225) or call 911.

Please use this form to report any academic misconduct violation of the LSUE Code of Student Conduct. Please see secton 10.1 of the LSUE Code of Student Conduct to reference specific violations of academic misconduct.

Disclaimer: Upon completion and submission, this form or inform nnotheratiein may constitute an educational record of any student(s) referenced, and is protected from disclosure except in some limited circumstances. As an educational record of a student, that student may have a right to review the form. The University will endeavor to maintain the information contained in the form as private, to the extent required by the law. Questions regarding this form and its completion or use should be addressed to

Involved Parties

Please list  individuals involved, including witnesses if there are any.
Please provide the full name and student ID number for all students involved. If there are multiple students involved, list them on separate lines.
Incident Description
Please indicate any potential witnesses in the report. Again, include as much detail as possible.
Is the student being referred scheduled to graduate this semester?
Is the student aware of this referral?
Supporting Documentation

Please send any supporting documentation to  Supporting documentation could include course syllabus, screenshots, pictures, copies of tests/assignments, etc.  Supporting documentation is often critical in the successful adjudication of alleged cases of misconduct.