Reinstatement Petition Form

Fall 2023 Reinstatement

Prior to completing the following form, please have the following applicable items ready for submission:

• Unofficial transcript(s) of in progress or completed college-level work taken during the out one semester
• Letter from a medical professional (diagnosis or treatment details not needed)
• Letter from a work supervisor in cases where established work hours changed 
• Any other documentation you feel might support your petition to return to CSUSM

• Acceptable formats for document submission are PDF and Word.

After gathering the applicable items from the above checklist, you will be ready to complete the Reinstatement Form.

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