OSTA EmptySeatApplicationV2

Please enter the student information, including home address at the start of the form. Your contact information (as the parent/guardian) is required at the end.

Please submit one empty seat application per student request.

Student Information

District

School

Grade

Student Last Name

Student First Name

Birth Date

Home Address

Apt

Number

Street

City

Postal Code

Please refrain from using your computer's autofill in the address fields. This may create errors, which may cause you to have to apply again.

Transportation Request

Please complete this section providing OSTA with the details of your request. If transportation is requested for the full day, please complete both the before and after school sections.

Before School (if not required, choose ‘pick up not required’)

Apt

Number

Street

City

Postal Code

After School (if not required, choose ‘drop off not required’)

Apt

Number

Street

City

Postal Code

Please select at least one option

Special Circumstances to Consider

Please indicate the reason for your request. We encourage you to provide details regarding your need for an empty seat in the space provided below.

Additional Comments: (maximum of 750 characters)

Submitted by

By submitting this form, I understand that my child is not eligible for transportation under the regular distance criteria established and may be granted permission to ride a school bus under OSTA's T1 Access to Empty Seats Policy. I have read the administrative procedures and agree to these terms and conditions. Transportation provided under these conditions is a privilege, which may be revoked at any time for i) misbehaviour on the school bus, ii) the service required for an eligible student, or iii) if changes are required to route services to obtain operational efficiencies.

Confirmation Required

I have read OSTA's T1 Access to Empty Seats Policy and agree to the terms and conditions. Electronic signature: By submitting this form, I acknowledge that I am the parent/guardian and am authorized to make changes to this student’s transportation.

Last Name

First Name

Daytime Telephone #

Confidentiality Statement

In accordance with the Personal Information Protection and Electronic Documents Act, Article 29, Paragraph (2), personal information requested in this form will assist in providing transportation services. The information is gathered in accordance with the Education Act S.R.O. 1980, c. 129, s.166(1).

Sibling(s) on Bus	Medical (student)	Medical (family member)
Safety	Single Parent/Financial	Distance
New Canadian/Exchange Student	Joint Custody	No Specific Reason
Caregiver	Cross Boundary	Other (provide details below)

OSTA EmptySeatApplicationV2

Please enter the student information, including home address at the start of the form. Your contact information (as the parent/guardian) is required at the end.

Please submit one empty seat application per student request.

Student Information

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

Home Address

Transportation Request

Special Circumstances to Consider

Confidentiality Statement

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