Fillable Transportation Waiver Form (Page 4 of 8) in pdf

Transportation Waiver Form Page 4

Download a blank fillable Transportation Waiver Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Transportation Waiver Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

NGELES

NIFIED

CHOOL

ISTRICT

Policy Bulletin

A. SIGNED WAIVERS

A signed Transportation Waiver Form from the parent or

guardian of each student MUST be obtained without exception. If a

student is of legal age, the WAIVER still must be signed by

parent/guardian or next of kin.

A completed and signed Private Automobile Driver’s Liability

Insurance Certification form for each driver must be obtained.

B. LIABILITY INSURANCE COVERAGE

Blanket One-Day Field Trip accident/illness insurance covers

students only while they are on a designated field trip site. It does

not cover students while they are being transported to or from the

field trip destination. The District provides limited liability

coverage for LAUSD students on a District approved field trip

while being transported on LAUSD owned buses; however,

there is no District provided liability insurance coverage for

drivers or passengers of private passenger automobiles while in

transit to a designated field trip site. Further, there is no District

provided liability insurance coverage for the private passenger

automobile. The driver must possess and make available his/her

own automobile liability insurance coverage pursuant to the

California Financial Responsibility Act along with the signed

copy of the Private Automobile Driver’s Insurance Certification

form.

This is a policy of the Board of Education of the City of Los Angeles

AUTHORITY:

California Education Code sections 35330 – 35332

California Vehicle Code sections 12500 and 16000 et seq.

RESOURCES:

ASSISTANCE: For assistance or further information please contact the Division of Risk

Management & Insurance Services, Insurance & Risk Finance Section at (213) 241-

1843 or email Riskmanagement@lausd.net.

BUL-5310.0

Office of the Chief Operating Officer

Page 4 of 4

October 20, 2010

Transportation Waiver Form Page 4

Related Articles

Related forms

Related Categories