502.8E1 Search and Seizure Documentation

Lewis Central Community Schools
Search and Seizure Documentation




Date __________ Time __________ Location_______________________________

PERSONAL INFORMATION

PERSON SEARCHED _______________________ DOB _______________ Male ______ Female ______

Person conducting search _________________ Position________ Male ______ Female __________

Assisted by/Witness ______________________ Position________ Male ______ Female __________


SEARCH CRITERIA

Factors that lead to the above search, giving reasonable and articulable suspicion that the search would turn up evidence of a violation(s) of criminal law, school policy, rules, procedures and/or regulations effecting school order: ______________________________________________________________________________________

___________________________________________________________________________________________


SEARCH SPECIFICS

Search type: Personal _____ Backpack _____ Locker _____ Vehicle _____ Other _____

Description of items(s) searched _________________________________________________________________

Search results ________________________________________________________________________________

___________________________________________________________________________________________

Item(s) seized ________________________________________________________________________________

Items turned over to parent/guardian Yes _____ No _____ N/A _____

Items turned over to Law Enforcement Yes _____ No _____ N/A _____

Officer(s) name ________________ Agency __________ ID# ________ Agency Case Number ________

________________ Agency __________ ID# ________ Agency Case Number ________


NOTIFICATIONS

Student notified Yes ____ No _____
Student present Yes ____ No _____
Parental notification Yes ____ No _____ Date/time __/__/__ _______am/pm
Name/pbx of parent/guardian _________________________________________________________________

This search was conducted under the guidelines prescribed and approved by the Lewis Central Board (policy 502.6) and outlined in the Lewis Central Student Handbook (pages 24-25).

Form completed by ___________________ Position _____________ Date ________________

Adopted:
Modified:
06/07/21
Reviewed: 05/17/21

Website by SchoolMessenger Presence. © 2021 Intrado Corporation. All rights reserved.