REINSTATEMENT OF TRANSPORTATION SERVICES REQUEST FORM

REINSTATEMENT OF TRANSPORTATION SERVICES REQUEST FORM

In order to request reinstatement of student transportation services, please complete the following.
To be completed by the PARENT/GUARDIAN.
I understand transportation services can be resumed upon request should my family experience a family or economic hardship that prevents us from transporting our child.
I previously waived student transportation services for my child Student's First Name* Student's Last Name* to and from *.
As of Date*, I am no longer able to transport my child due to a family or economic hardship, as defined in the City of Bridgeton Public Schools Transportation Waiver Policy. I therefore request reinstatement of transportation services for the * school year. I am providing proof of my family/economic hardship as required by the Transportation Waiver Policy.
I further understand that, if approved, the reinstatement of transportation services will occur according to the City of Bridgeton Public Schools Transportation Waiver Policy after receipt of the completed Reinstatement of Transportation Services Request Form accompanied by acceptable documentation of the hardship and approval by the local board of education.
Signature*

Clear
Name*

First NameLast Name
Date*

MonthDayYear
Date
Email*

Confirmation Emailexample@example.com
Proof of Family/Economic Hardship*

You are required to provide proof of the Family.
Cancelof
Should be Empty:

To be completed by the PARENT/GUARDIAN.