Kansas State Department of Education KSDE FaceBook link KSDE Twitter link Contact KSDE

Forms

The following links will provide you with information and/or forms from the Kansas State Department of Education's School Bus Safety Unit.

Application for Out-of-District School Attendance & Transportation (PDF)

Certification of Health for School Personnel (PDF) -- This form is to be completed by the applicant, or employee, and signed by a Licensed Physician stating that the individual has been tested for Tuberculoses pursuant to K.S.A. 72-5213. More information is available on the Bus Driver Information web page.

Charter Bus Service - Safety Checklist (PDF) -- This form/check-off sheet is used to assist school districts in selecting a reliable charter bus service for "cross country" trips when a school bus is not available.

Evacuation Drill Script and Record Form (PDF) -- This form is a suggested "script" when conducting the evacuation drills each semester and the briefing prior to activity trips.  The record form may be used to document these activities. 

Evacuation Drill Form 2 (PDF) --  This form may be used to document evacuation drills each semester.

IEP Checklist (PDF) -- A check-off sheet to assist the transportation supervisor when invited to attend a child's IEP meeting to help address transportation concerns.

Instructor Roster Form (PDF) -- A "sign-up sheet" for instructors to utilize when conducting any of the programs identified.

Kansas Department of Revenue Application for Disabled Decal (which can be affixed to a school district license plate) (PDF) -- School Districts may apply for a disabled decal for a school district license plate provided the school vehicle is used to transport students who qualify for disabled parking under KSA 8-1,124.

A school vehicle displaying a school district license plate with a disabled decal affixed shall only use handicapped parking when transporting a students who qualify for disabled parking under KSA 8-1,124.  A violation is a criminal offense punishable by a fine of not less than $100 nor more than $300 (KSA 8-1,130a).

NOTE:  School Buses displaying a Handicapped ID Placard affixed to the bus shall only use handicapped parking when transporting a student(s) who qualifies for disabled parking under KSA 8-1,124.

Pre-Trip Inspection Form - Excel forms which can be modified for school buses to meet individual school district policies and procedures.

Pre-Trip Inspection Form for School Passenger Vehicle - PDF form example which can be modified for school passenger vehicles to meet individual school district policies and procedures

Training Records & Pre-trip Forms (PDF) -- A collection of thirty-six training forms and pre-trip inspection forms which can be used/modified or altered to fit a school district or contractor's school.

Safety Meeting Roster  (PDF) A "sign-up sheet" for Safety Meetings to utilize when conducting any monthly safety programs and to document makeup meetings.

School Transportation Provider Disclosure (PDF)

Verified Statement (PDF) A verified statement form which meets the requirements of KAR 91-38-4.

School Bus Safety Director
Keith Dreiling
785-296-4567
785-296-6659 (fax)
kdreiling@ksde.org

School Bus Safety Assistant Director
Dennis Tate
785-296-4545
dtate@ksde.org

Senior Administrative Assistant
Wilma Crabtree
785-296-3551

Education/Information Representative  
Debora Romine

 

Copyright 2016 by Kansas State Department of Education | 900 SW Jackson St. | Topeka, KS 66612 Privacy Statement  |  Terms Of Use  |  System Maintenance Notices  |  Open Records (PDF)
The Kansas State Department of Education does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. (more information...)