Suspension & Expulsion Log
District: Building: School Year
Form JJ
Date of Violation 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Student Name Last, First
Grade
Suspension or Expulsion*
Mandatory or District Policy**
List 1st and last date of suspension or expulsion
# of Days
Reason
* For suspensions: use S for home or IS for in-school. ** District Policy versus Mandatory: See Pupil Accounting Manual, Section 5N
Signature / Title of Authorized Representative
Date 2/26/2009