SCHOOL BUS SAFETY FORM
Please complete this form with as much detail as possible
Date incident occurred
MM
/
DD
/
YYYY
Time Incident occurred
Time
:
Location of Incident:
School Bus Number:
Direction bus was headed:
Was bus loading or unloading school children:
Was the mechanical stop arm displayed?
Clear selection
Was the flashing red stoplight displayed?
Clear selection
Describe your vehicle:
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