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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. 

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.

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 (1) (PDF) A "sign-up sheet" for Safety Meetings to utilize when conducting any monthly safety programs.
Safety Meeting Roster (2) (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

Questions about this page contact:
Wilma Crabtree
785-296-3551
wcrabtree@ksde.org

 

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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...)