Transportation Request Form
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1TRANSPORTATION REQUEST
Mountain Home Public Schools
SCHOOL
TRANSPORTATION
Date Received_________________
Date Received________________
Approved by___________________
Approved by_________________
Account Number to be charged________________________65870.
Mandatory
Sponsor Portion:
Person requesting/Making Trip _______________________________________
Group or Organization ______________________
School___________________
Date of Trip___________Day of the Week_________ Destination _____________________No. of Passengers___
Purpose of Trip_________________________ Time you want to leave___________________
Extra Loading time required _________________ Expected return time__________________
Where will the bus meet you?___________________________
Will sack lunch be provided? Yes____No____ Rest Stops? Going_____ Returning_______
Type and number of buses required: Activity Bus______ Special Needs Bus_____ Small Bus________
Drivers Needed? Yes—How many? _____ No—Driver’s name _________________________________
DRIVERS PORTION:
Driver’s name_____________________________ Bus #____ Time you started_______ Time Trip Ended________
Starting Mileage_________________ Ending Mileage__________ Pre-trip inspection Completed ? Yes No
Additional comments_________________________________________________________________________
TRANSPORTATION PORTION:
Total Miles ________________ Number of Buses____________ Mileage Cost $___________
Total Hours ________________ Number of Paid Drivers ____________ Driver Cost $ ______________
Total Trip Mileage___________ Cost $___________
Form Updated 02/24/2009
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Parent category: Education