If you are dissatisfied with the 1
level of appeal above, you may request a review with the Citation Review
Committee within five (5) days of receipt of the Campus Safety & Security Supervisor’s decision. Submit this
completed form, including action taken by the first appeal decision.
You may appear at the hearing to present your statement in person or to add additional information to your written
statement for the committee to consider. If you would like to attend, please check the box below. Once your appeal is
scheduled, you will be notified via U. S. Mail. The decision by the Committee for the second-level appeal is binding
and final and you will be notified by U.S. mail as soon as practicable.
Request an appearance before the Committee
Decision-Citation Review Committee
This is to inform you that your second level appeal contesting the above referenced citation has been:
Denied (Failure to file within 5 days)
Appeal Granted ____________________ Fine Imposed $_______
Fine Reduced $________ Waived/Dismissed Warning
Conditional Findings/Comments: __________________________________________________________________
Citation Review Committee: _______________________________________ Date: __________________
Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX, equal opportunity and affirmative action. CBC
does not discriminate on the basis of race, color, creed, religion, national or ethnic origin, parental status or families with children, marital status, sex (gender), sexual orientation, gender identity or
expression, age, genetic information, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal
(allowed by law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to the Vice President for Human
Resources & Legal Affairs and CBC’s Title IX/EEO Coordinator at (509) 542-5548. Individuals with disabilities are encouraged to participate in all college sponsored events and programs. If you have
a disability, and require an accommodation, please contact the CBC Resource Center at (509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in
alternative media by request.