JIH E Student Search Checklist
NEPN/NSBA Code: JIH-E 

STUDENT SEARCH CHECKLIST 

This checklist is to be completed for each individualized student search incident as soon as possible after the search.

Name/Title of Person Performing Search and Completing Form:

______________________________________________________________________________________

Date: ______________________

1. Who was searched? __________________________________________________________________

2. Date, time and location of search ________________________________________________________

3. What factors caused you to have a reasonable suspicion that a search of this student or the student’s possessions would provide evidence that the student has violated or is violating the law, Board policies
or school rules?

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

4. Was student’s consent requested? ______________ Given? ________________________________

[Consent is not required for search to be conducted]

5. What was searched (i.e., person, personal belongings, storage facilities)?

___________________________________________________________________________________

___________________________________________________________________________________

6. Witness(es) to search________________________________________________________________

___________________________________________________________________________________

7. What did the search yield? ___________________________________________________________

A. What evidence was seized? _____________________________________________________

B. Was receipt issued for seized items? ______________________________________________

8. Were police notified? _______________________________________________________________

9. Was any evidence released to police? _________________________________________________

A. Who witnessed the search? ____________________________________________________

10. Were parents notified of the search, including the reasons and the scope?

__________________________________________________________________________________

A. If yes, how were they notified? __________________________________________________

B. If no, why not? _______________________________________________________________

11. Other relevant facts (if any)_________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Signature of Person Performing Search and Completing Form:

________________________________________________ 



If search resulted in school disciplinary action and/or referral to law enforcement, this form should be retained in student’s file. 

If search did not result in disciplinary action, this form should be retained in separate file in school or superintendent’s office.


M.S.A.D. #4