Student Transportation Special Request Form

Each year this form must be completed for any student requesting transportation from other than home for grades PreK-8 or students PreK-12 that do not need transportation. If declining transportation, please fill out only the required fields below.
This information is used to assess transportation needs, determine eligibility, and plan busing for students. “Childcare” includes private providers and/or family members providing care at a location other than the parent/guardian"s residence.

**Do not use this form for open enrolled transportation requests. Use the Open Enrolled Transportation Request Form available on our website.

**For alternate site requests for students with Special Education busing, please contact your case manager.**

*** Read the following IMPORTANT information if requesting transportation from an address other than home:
Consistent bus stops are necessary for the safety of students. Students are not allowed to make changes regarding pick-up or delivery stops. Example: riding a school bus to a friend"s house.

Special transportation arrangements are considered for students in Childcare. A student may be:

1. picked up at the home, attend school and delivered to Childcare;

2. picked up at the Childcare, attend school and delivered to the home; or

3. picked up at the Childcare, attend school and delivered to Childcare.

Transportation arrangements can be made under the following conditions:

1. May only select ONE morning (AM) and ONE afternoon (PM) address for your transportation needs.

2. Both addresses are within the attendance area of the school.

3. Both addresses are greater than .80-mile transportation minimum for elementary students.

4. Both address are outside the 1 mile limit of home to school for students in grades 6-8.

School Year *

2021-2022

Student Information & Home Address

Student Full Name *

First Name Last Name

Student Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Grade Level *

School *

Daycare Provider Information & Home Address

Childcare Provider Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Bus Stop Selection Process

You may select only one (1) option for the a.m. pickup and one (1) option for the p.m. take home. Rotating or alternating days are not allowed.

To School (AM Route) *

home address childcare address bus not needed attend Kidstop/Ozone childcare provides transportation

From School (P.M. Route) *

home address childcare address bus not needed attend Kidstop/Ozone childcare provides transportation

Parent/Guardian Name *

First Name Last Name

Cell/Home Phone # *

Area Code Phone Number

E-mail *

Comments you would like to share regarding your student's transportation needs:

Osseo Area Schools