
Administrative Regulation 504.03B
STUDENTS
SEARCH AND SEIZURE
CHECKLIST
I. What factors cause you to have articulable
suspicion that the search of this student or his or
her effects, locker or automobile will turn up
evidence that the student has violated or is
violating the law of the rules of the school?
A. Eyewitness account.
1. By Whom:
_________________________________________________
2. Date/Time:
_________________________________________________
3. Place:
_____________________________________________________
4. What was seen:
_____________________________________________
__________________________________________________________
B. Information from a reliable source.
1. From whom:
_______________________________________________
2. Time received:
______________________________________________
3. How information was received:
_________________________________
4. Who received the information:
__________________________________
5. Describe information:
________________________________________
C. Suspicious behavior.
Explain:
______________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
D. Child's past history.
Explain:
______________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
E. Time of search:
__________________________________________________
F. Location of search:
_______________________________________________
G. Student told purpose of search:
____________________________________
H. Consent requested:
_______________________________________________
II. Was the search you conducted reasonable in
terms of scope and intrusiveness?
A. What are you searching for:
______________________________________
B. Sex of the student:
______________________________________________
C. Age of the student:
______________________________________________
D. Exigency of the situation:
_________________________________________
E. What type of search is being conducted:
____________________________
___________________________________________________________________
F. Who is conducting the search:
_______________________________________
Position:
_____________________________________________________________
Sex:
________________________________________________________________
G. Witness(s):
________________________________________________________
____________________________________________________________________
III. Explanation of search.
A. Describe the time and location of
the search: ___________________________
______________________________________________________________
B. Describe exactly what was searched:
__________________________________
______________________________________________________________________
C. What did the search yield:
_____________________________________________
_____________________________________________________________________
D. What was seized:
___________________________________________________
E. Were any materials turned over to the
police: _____________________________
______________________________________________________________________
F. Were parents notified of the search
including the reason for it and the scope:
___________________________________________________________________
- Updated 4/91,Reviewed
8/99, Revised 7/10
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