Forms (current)

Exceptional Circumstances Transportation Request

Use this form to request transportation support due to exceptional circumstances. Requests are reviewed individually, do not guarantee transportation service, and any support provided is temporary in nature.

District

School

Grade

Student Last Name

Student First Name

School Assigned Student ID

More than one student matches the criteria submitted. Please select the student to use

Select

Transportation Address

Street Number

Street Name

City/Town

Postal Code

Parent/Guardian Information

First Name

Last Name

Phone Number

Email Address

Exceptional Circumstance

Select one: Please select a circumstance type.

CAS placement

Emergency relocation/shelter

Family illness/crisis

Temporary relocation to complete semester

Please describe the situation requiring transportation support

Requested transportation start date

Expected end date (if known)

Transportation Details

Is the student able to ride a regular school bus?

Yes

Is there a current transportation arrangement in place?

Yes

Supporting Documentation

Upload supporting documents (optional)

File Attachment

Upload additional information below

Instructions:

Click the Browse button to locate the file. Allowed file types are pdf, jpg, gif and png.
Click the Upload button upload the file.

Uploaded File

Submitted by

I acknowledge that requests are reviewed individually and do not guarantee transportation service. You must acknowledge that requests are reviewed individually.

I acknowledge that any transportation support provided is temporary in nature. You must acknowledge that support is temporary in nature.

Last Name

First Name

Email:

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