Notice of Withdrawal of Consent to Remain on Campus

(for persons who are not students or employees of the University or not required by their employment to be on the campus of the University)

 

Date _______________________

 

To ______________________________

You are hereby notified by the undersigned, an officer designated by the Chancellor of the Irvine Campus of the University of California to maintain order on such Campus, that you are directed to leave the Irvine Campus of the University of California.

You are further advised that, if you fail so to leave the Campus, or if you return thereto within 72 hours after this direction to leave, you may be found guilty of a violation of Section 626.6 of the Penal Code of the State of California.

 

Signature______________________________

Time and date of withdrawal of consent______________________________