Kansas State Department of Education
search_arrow
 
Search




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.

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. 72-6626 (prior law 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.

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

Compliance Letters for Bus Sales

Evacuation Drill Record Form 1 (PDF) -- This form may be used to document evacuation drills each semester.. 

Evacuation Drill Record 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.

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.

Out of District Attendance and Transportation Forms

  • Parent Application for Out of District School Attendance (PDF) A voluntary form used by school districts to administer out of district school attendance requests. Please Note: This form cannot be used for school districts with territory in Johnson, Sedgwick, Shawnee or Wyandotte counties.
     
  • Out of District School Transportation Notification (PDF) A voluntary form used by school districts to meet the legal requirement of KSA 72-3124 mandating the notification of another district when it provides out of district transportation for one of their pupils. Please Note: This form cannot be used for school districts with territory in Johnson, Sedgwick, Shawnee or Wyandotte counties.
     

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

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)

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.

Transportation Request & Bus Rider Contract (PDF) Sample form for basic transportation request information includes rider contract for parents and students to sign. Form should be revised to meet individual district policies and needs.

.

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

School Bus Training Coordinator 
Melissa Ostermeyer
785-296-5659
mostermeyer@ksde.org

Senior Administrative Assistant
Annette Blevins
785-296-3551
ablevins@ksde.org

Upcoming Events

Copyright 2019 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...)


To accommodate people with disabilities, on request, auxiliary aides and services will be provided and reasonable modifications to policies and programs will be made. To request accommodations regarding accessibility please contact the Office of General Counsel by email or at 785-296-3204.