Code No. 502.8E1
SEARCH AND SEIZURE CHECKLIST
By whom: ______________________________________________________________
Date/Time: ______________________________________________________________
Place: ___________________________________________________________________
What was seen: ___________________________________________________________
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From whom: _______________________________________________________________
Time received: ______________________________________________________________
How information was received:__________________________________________________
Who received the information:___________________________________________________
Describe information: __________________________________________________________
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Explain _____________________________________________________________________
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Position:___________________________________________________Sex: _____________
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Signatures of all Present:
Signature: __________________________________ Date:________________
Signature: __________________________________ Date:________________
Signature: __________________________________ Date:________________
Signature: __________________________________ Date:________________
Signature: __________________________________ Date:________________
Approved: 10/28/09
Reviewed: 2/6/22
Revised: 1/6/10
Grinnell-Newburg School District, Grinnell, IA