Accessible Bus: Sibling Rider Request

This is a request form for a sibling or immediate family member of a student who uses accessible transportation, to take the bus with the eligible student. The eligible student must be approved via Student Services, there must be sufficient space available on the bus, and there must be no impact to any eligible students on the school bus. This seat must be applied for each school year and is reviewed by HRCE Transportation. Approvals are at the discretion of the Transportation Team in alignment with HRCE Unassigned Seat guidelines, and operational requirements for accessible busing.

School

Grade

Last Name

First Name

Student ID

Requested Start Date

Eligible Student's Name

Eligible Student's Student ID

Contact

Last Name

First Name

Phone Number

Address

Street #

Street Name

City

Bus Stop Type

BOTH

Additional Address (If Required)

Street #

Street Name

City

Bus Stop Type

BOTH

Additional Notes

Submitted by

I acknowledge that this request is subject to the Terms and Conditions of HRCE Unassigned Seating, in alignment with the School Transportation Policy. Select all options

I understand that if approved, this seat is conditional upon there being a reasonable amount of space on the school bus and does not negatively impact an eligible students' travel to and from school. This seat may be required for an eligible student at any point during the school year. HRCE will provide a minimum of 48 hours notice that my child assigned as a Sibling Rider is no longer approved to ride the bus.

Last Name

First Name

Accessible Bus: Sibling Rider Request

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