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    [Institution Name Letterhead]
    [Institution Address]
    [City, State, Zip Code]
    [Phone Number]

    [Date]

    Pennsylvania Department of Education
    Office of Postsecondary and Higher Education
    607 South Drive
    Harrisburg, PA 17120

    RE: Submission of Student Mental Health and Suicide Prevention Plan for Act 110 Designation

    To Whom It May Concern:

    On behalf of [Institution Name], I am pleased to submit our institution’s Student Mental Health and Suicide Prevention Plan in accordance with the requirements outlined in Act 110 of 2018 and 24 Pa.C.S. § 7103(a).

    Our institution is committed to supporting student well-being and suicide prevention. We have developed a comprehensive mental health and suicide prevention plan that meets all required elements, including:

    1. Contact information for national, state, and local suicide prevention hotlines;
    2. Crisis intervention services available 24/7 on campus or remotely;
    3. Information about mental health services and access;
    4. Multimedia and digital access to resources and warning signs;
    5. Student communication and outreach strategies; and
    6. Post-intervention communication procedures.

    Our plan is publicly available on our website at the following URL:

    👉 [Insert direct link to Student Mental Health and Suicide Prevention webpage]

    We respectfully request that the Pennsylvania Department of Education review our submission and consider [Institution Name] for designation as a Certified Suicide Prevention Institution of Higher Education for the 2025 academic year.

    If you have any questions or require additional information, please contact [Name, Title] at [email] or [phone number].

    Thank you for your time and consideration.

    Sincerely,
    [Name]
    [Title]
    [Institution Name]
    [Email Address]
    [Phone Number]