JIH-R4 Group Search Checklist

CANINE PATROL RESULTS DOCUMENTATION

This checklist is to be completed for each canine patrol as soon as possible after the sweep.

Name/Title of Person Performing Search and Completing Form: ______________________
Date: _____________________

1. What areas were included within the canine patrol? _________________________________________________________________

2. Date, time and location of patrol? _________________________________________________________________

3. What factors caused you to conduct a patrol of this/these area(s)? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Witness(es) to patrol: ______________________________________________________________________________________________________________________________________________________

5. What did the patrol yield? ____________________________________________________________

A. Were there any canine “alerts”? ______________________________
B. If there were dog alerts, was any physical search conducted by school officials? ______________________

6. Were police notified? _________________________________________

7. Was any evidence released to police? _________________________________

8. Other relevant facts ( if any) ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________ Date: ___________
Signature of Person Performing Patrol and Completing Form:
_______________________________________________________ Date: ___________
Signature of Person Witness to the Canine Patrol

NOTE: 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 A SEPARATE FILE IN THE SCHOOL ADMINISTRATOR’S OFFICE AND DESTROYED AT THE END OF THE SCHOOL YEAR ALONG WITH OTHER DISCIPLINARY RECORDS.

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