Kansas State Department of Education
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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.

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.

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

Compliance Letters for Bus Sales

  • Activity Bus Compliance Letter - A voluntary form used by school bus vendors advising schools an Acitivty Bus cannot legally be used to transport students from school to home and home to school
  • Multi Function School Activity Bus (MFSAB) Complaince Letter - A voluntary form used by school bus vendors advising schools a MFSAB cannot legally be used to transport students from school to home and home to school
  • Verified Statement (PDF) A form to be used by school districts when purchasing a school bus. This verified statement form meets the requirements of KAR 91-38-4.

Emergency School Bus Evacuation Record Forms

These forms may be used to document mandated emergency school bus evacuations drills. The drills shall be conducted at least once each semester. Include service door operation instructions with every drill.

Disabled Decal for License Plate

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. DO NOT send this form to the County Treasurer’s Office, they do not process these requests.  The Division of Vehicles is the only government agency that fulfills these applications. Fax Completed and Signed form to (844)803-2461.
For specific question contact:

Sarah A. Bayless
Titles and Registration/Vehicle Services
Phone: 785-296-2228
sarah.bayless@ks.gov

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.
     

Inspection Forms

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

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

Mandated Disclosure

School Transportation Provider Disclosure (PDF) Kansas law, KAR 91-38-6, requires each prospective school transportation provider to sign a statement concerning their criminal and driving record histories. "School transportation provider" is defined as anyone who drives a school bus or activity bus to transport Kansas students. It also includes an individual hired primarily to provide transportation for Kansas students with a school passenger vehicle. A school district or school transportation contractor may use their own form for this legal requirement

Miscellaneous Forms 

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.

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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

Copyright 2020 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 or for more information please contact the Office of General Counsel at ogc@ksde.org or by 785-296-3201.