Transportation Change Request Form

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Please complete this form to request a change to your child's current transportation arrangement.
A separate form must be completed for each child that you are requesting.
Only the following two change request reasons will be honored by way of this form:
1.) Termination of Service, or 2.) Change of Bus Stop.

Change requests having to do with Hardship and Safety concerns should be sent directly to jkaiz@d57.org.
Change requests having to do with IEP Accommodations should be sent directly to styburski@d57.org.
Do not complete this form for either of these requests.

Student ID: please enter your child's student ID number. *

Student First Name: please enter your student's first name (as provided to the District) *

Student Last Name: please enter your student's last name (as provided to the District) *

What school does your child attend *

Westbrook

Fairview

Lions Park

Lincoln

Grade: Please select your Child's Grade *

Are you requesting a termination of service to your child's transportation arrangement? *

Yes

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