Transportation Waiver Form.xlsx
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PARENTAL TRANSPORTATION SERVICES WAIVER FORM
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STUDENT TRANSPORTATION SERVICES
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To be completed by the Parent/Guardian. Please print.
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I understand that, if eligible, the
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Local Board of Education
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is obligated to transport my child to and from school pursuant to N.J.S.A. 18A:39-1 et seq.
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In accordance with N.J.S.A. 18A:39-1c, I agree to waive said transportation services provided
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by the
.
I understand that I will
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Local Board of Education
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be responsible to provide transportation for my child
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Student's Name
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to and from
school each school day and the
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School of Attendance
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will not be required to provide
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Local Board of Education
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transportation services to my child for the
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school year. I have
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received and read the
Transportation
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Local Board of Education
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Waiver Policy and agree to the terms for Waiving Transportation Services. I understand I may
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reinstate my child's transportation services upon written request and showing a need due to
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family or economic hardship as defined by the Transportation Waiver Policy.
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Parent/Guardian Signature:
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Parent/Guardian Printed Name:
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Date:
Day Time Telephone:
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Email Address:
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For District Use Only
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Date Waiver Received:
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BOE Notification Date:
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Parental Transportation Waiver