Forms (current)

2025-26 Special Transportation Request (STR)

Parents must be consulted prior to submission of this request. If consultation has yet to happen, please do so prior to completing this form.

District

School

Grade

Student Last Name

Student First Name

Gender

Birth Date

Student ID

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

Select

Reason for STR

If Other please specify

1. Date of Consultation with Parents

Consultation must be completed prior to submission of this request to ensure parents are aware of what they may expect once the request is approved and communicated by the Bus Operator.

Consultation Date

2. CUSTODY

Does the student require custody transportation?

3. ADDRESS

Note: The following addresses are currently on the student's record at STSCO.

Request transportation for this address

Number

Street

City

Postal Code

Apt

Home Addresses must be updated at the school level. Please have the school secretary update if this is not the current Home Address.

Request transportation for this address

Number

Street

City

Postal Code

Apt

New Address

4. SPECIALIZED PROGRAM

Program

If Other please specify

School

If Other please specify

Transportation is required to destination/specialized program:

Number

Street

City

Postal Code

Apt

5. SCHEDULE

School Code

Distance to School

AM School Bell

PM School Bell

Can the student arrive 15 minutes before the morning bell, depart up to 15 minutes after the afternoon bell, and do they attend five days a week?

6. PICKUP METHOD & VEHICLE TYPE

Has the student been on a bus before?

Is the student able to walk to a bus stop within 500 metres?

Is the student able to walk up and down stairs (both school and bus stairs)?

Does the student need to be limited to the number of students on the vehicle?

Does the student need to sit alone in a seat?

Does the student need to be met by staff in the AM?

Does the student need to be met by a parent/guardian in the PM?

7. SPECIALIZED EQUIPMENT/CONSIDERATIONS

Note: the boxes that are pre-selected are already on this student's record at STSCO.

Specialized Equipment

Booster Seat/Car Seat

Oxygen Support System

Seat Belt

Seat Belt Cover

Suction Machine

Vest Harness

Walker/Cane

Wheelchair

Health

Anaphylactic

Asthma

Diabetic

Epilepsy

Epi-pen

Hearing Impaired

Medical Condition

Non-Verbal/Limited

Plan of Care

Seizures

Sensitive to Loud Noise

Visually Impaired

Behaviour

Advance Notice of Changes

Flight Risk

Must Ride Alone

Must Sit Alone

Transportation Safety Plan

Support

Aide/Monitor

Aide/Monitor Individual

Alternate Arrival Time

Alternate Departure Time

Assigned Bus Seat

Door Side Stop Only

EA to Ride with Student

Must be Met at Sch and Home

Must be Met In AM

Must be Met In PM

Needs Assistance Boarding

Needs Assistance De-Boarding

Nurse

Service Dog

Other

Does the student require a special apparatus? Please specify

Additional Comments

8. PLAN OF CARE

Does the student have a Plan of Care?

9. Applicable Dates

STR Start Date

STR End Date

10. BUS MONITOR FORM

Does the student require a bus monitor?

Submitted by

Last Name

First Name

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