Name/Title of Person Performing Search and Completing Form
Date
1. Who was searched?
2. Date, time and location of search
3. Was this search the result of a canine “alert”?
4. What was searched (i.e., person, personal belongings, storage facilities)?
5. Witness(es) to search
6. What did the search yield?
7. Were police notified?
8. Were parents notified?
9. Other relevant facts (if any)
Signature of Person Performing Search and Completing Form: __________________________________
ONCE COMPLETED, A COPY OF THIS FORM WILL BE FORWARDED TO THE SUPERINTENDENT AND PLACED IN THE STUDENT’S FILE (IF SEARCH RESULTED IN DISCIPLINE) OR IN SEPARATE FILE (IF NO DISCIPLINE INVOLVED).
*Please excuse any formatting errors.