The ODBES Logo. The state of Ohio outlined in red with the word “Ohio” in blue script and the words “Deaf and Blind Education Services” in blue beside it.

  • Trip Request

    Ohio Deaf and Blind Education Services

  • Requester Information

  • Campus Location*
  • Today’s date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • OSD Supervisor*
  • OSSB Supervisor*
  • ELC Supervisor*
  • CAO/SSO Supervisor*

  • Destination Information

  • Is this destination outside of Ohio?*
  • Departure Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • *RETURN DATE MUST BE THE SAME DATE AS THE DEPARTURE DATE OR LATER*

  • Return Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do You Have Additional Destinations?*
  • How Many Additional Destinations?*

  • Destination Information #2

  • Destination Information #3

  • Destination Information #4

  • Logistical Needs

  • Do you need a driver?
  • Vehicles: (Check all that are needed)

  • Loading Areas:

  • OSSB areas
  • OSD Areas

  • Roster of Participants

  • Student Riders: (provide one name per cell below or attach a separate word document)
    Rows
  • Browse Files
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    Choose a file
    Cancelof
  • Adult Riders: (provide one name per cell below or attach a separate word document)
    Rows
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • FOOD Service:

  • Will you be submitting a food request for this trip?*

  • MEDICAL NEEDS:

    Contact Student Health Services for Emergency Medical Forms. Forms needed for ALL Trips.

  • **All out of state trips must be approved by the Superintendent or designee.**

  • Should be Empty: