Transportation Request

Can I Ride a Bus?

School Year

Request Type Select a Request Type

New

Change

Cancellation

Seat Type Select a Seat Type

School Bus

Wheelchair

TTC

SECTION 1 : STUDENT INFORMATION

School Board:

School

Grade

Student Last Name

Student First Name

Gender

Birth Date

OEN

Program

Start Date

End Date

Contact 1

Last Name

First Name

Contact #

Alternate #

Relationship

Contact 2

Last Name

First Name

Contact #

Alternate #

Relationship

Contact 3

Last Name

First Name

Contact #

Alternate #

Relationship

Contact 4

Last Name

First Name

Contact #

Alternate #

Relationship

AM Transportation Address

Address

Number

Street

City

Postal Code

Apt

Address Type Select a Address Type

Residential Address Used for Transportation

Bus Stop Location

Alternate / Day Care

Not Required

Bus Stop Location

Day Care Name

Contact Name

Contact #

Planning Use

Stop ID

Run ID

Route ID

PM Transportation Address

Address

Number

Street

City

Postal Code

Apt

Address Type Select a Address Type

Residential Address Used for Transportation

Bus Stop Location

Alternate / Day Care

Not Required

Bus Stop Location

Day Care Name

Contact Name

Contact #

Planning Use

Stop ID

Run ID

Route ID

SECTION 2 - SCHOOL INFORMATION

Pickup Required for:

Class Start Time

Dropoff Required for:

Class Dismissal Time

Buses are routed to class start time (not the entry Bell Time)

Ride-Alone (hours 9:45-2:30 approx.)

Ride-Alone Start Time: 9:45

Ride-Alone Dismissal Time: 2:30

* Buses may drop-off between 5-30 minutes prior to that time (15 minutes prior to noon start time)

Sibling Name(s) (If applicable)

Sibling School

Students with Special Needs Requesting Transportation (school use only)

What cognitive/social grade level does he/she function?

SECTION 3 - MEDICAL AND ADDITIONAL INFORMATION

Communication

Is completely verbal

Is partially verbal

Is non-verbal

Carries an ID card

Does the student have any history of allergy and/or drug-medicine reaction?

Yes

If yes, explain

Anaphylaxis

Epi-Pen

Inhaler/Puffer

Triggers (example penicillin)

Other

Other (please explain)

Student has mobility issues

Is a support animal required to ride with the student? If so, specify the type of animal and upload certification as service animal

Type of Animal

Upload Certification as Service Animal

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

ADOA - Safety Plan

Upload Safety Plan

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

Other

Booster Seats: Mandatory by law if student is riding in a minivan or taxi. If student is between 40 and 80 lbs., under 145 cm tall and up to 8 years of age, a booster seat is required.

Car Seats: Not mandatory but may be used on 18 passenger buses for daily home to school transportation. Car Seats must be used for students who require them because of their medical condition. If student is under 40 lbs./18.2 kg., please indicate weight

Medical Eligibility: If transportation is requested due to a health concern, the “Medical Form to Determine Eligibility” must be completed by a medical practitioner and returned along with the Student Transportation Application. (The Medical form can be downloaded from the Transportation website).

Safety Vest/Harness: If the student requires a harness/safety vest, “Safety Vest/Harness Request Form” must be completed and prescribed by a medical practitioner. (The Safety Vest/Harness Request form can be downloaded from the Transportation website).

Parent/Guardian must provide the car or booster seat and must leave them on the vehicle for the school year.

Use this space for any other information you feel is pertinent to your child's transportation

Submitted by I have reviewed a copy of either the transportation brochure or the Special Needs booklet and am aware of my responsibilities.

Last Name

First Name

In case of emergency, permission is hereby given to the Toronto Catholic District and Toronto District School Board to release the above information to a medical practitioner. The pupil is to be taken to the nearest hospital for examination and, if necessary, x-rays. In addition, this information will be shared with the transportation carrier. Personal information contained on this form or general information collected on behalf of the Toronto Catholic District School Board and Toronto District School Board regarding the student is collected under the authority of the Education Act and in compliance with sections 14, 31 and 32 of the Municipal Freedom of Information and Protection of Privacy Act and will be used for education, transportation and health and safety purposes.

Asthma	Blind/Vision Impairment	Diabetes	Heart Disease
Behavioural Issues	Deafness/ Hard of Hearing	Epilepsy/Seizure	Shunt

student can navigate steps (Boarding/De-boarding concerns)	crutches	oxygen
student poses a risk of injury to self or others	flight risk/runner	requires Aide/Nurse
walker

Transportation Request

SECTION 1 : STUDENT INFORMATION

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

AM Transportation Address

Planning Use

PM Transportation Address

Planning Use

SECTION 2 - SCHOOL INFORMATION

Students with Special Needs Requesting Transportation (school use only)

SECTION 3 - MEDICAL AND ADDITIONAL INFORMATION

Parent/Guardian must provide the car or booster seat and must leave them on the vehicle for the school year.

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