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Type Recipient's Name Here,

Consistent with my rights under Education Code Section 48910, I hereby suspend Type Student's Name Here for violating the following act(s) enumerated in Education Code Section 48900:

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I understand it is my obligation under the law to "ask the parent or guardian of the pupil to attend a parent-teacher conference regarding the suspension" (Education Code Section 48910). I will be making this contact as required by law. The law also requires that if requested by either the parent or teacher, an administrator shall attend. I hereby request you or your designee's attendance at this meeting.

Please note that the law prohibits you from returning this student to my classroom. Any attempt to do so is an unlawful violation of my rights, and as such, I refuse to allow this student back in my room (see Education Code section 48910).

Signed,