Warwickshire School Transport Application Form

Photo uploader - student photo

Browse Upload your childs photo*

Please note: maximum file size 5mb

Student address

Enter your address and choose the correct entry from the list:*

Parent/carer details

First name:*

Last name:*

Email:*

Telephone number:*

Contact telephone number (this may be used for SMS alerts relating to your school transport):*

Establishment details

Course Details

Full time/part time:*

Full Time

Part Time

Number of days travelling per week:*

Year of study:*

1st

2nd

3rd

4th

Course name:*

Course Level:*

Is the student participating in a supported internship?:*

Yes

Would you like your child to be considered for independent travel training (now or in the future)?:*

Yes

Would you like to hear from a member of the travel training team to discuss this further?:*

Yes

Details of special needs

Please give all information as accurately as possible including any additional information that you think may be useful to us in the additional information box below. If your child has been given a statement or EHCP then it may be helpful to use it to complete this section of the application form.

Please select all that apply and if necessary add additional information below:

Details of Special Needs:

Are there any triggers that may affect your childs behaviour on the journey to/from school:

Yes

Equipment

In order to ensure that we provide the most appropriate transport for your child, we require details of any equipment they may need to travel with.

Will your child be travelling in a car booster seat:*

Yes

Attendance details

Date that transport is required to start (dd/mm/yyyy):*

Direct travel payments

Many parents prefer to make their own arrangements for their child’s travel to and from school/college and are paid a set rate of 40p per mile. You will receive this as a half-termly payment into your bank account.

Direct travel payments are only normally available when no Warwickshire County Council transport operates.

Would you like to be considered for a direct travel payment?*

Yes

Payment options

Please make cheques / postal orders payable to Warwickshire County Council If you wish to pay by credit/debit card please call the Education Transport department once you have submitted your application form.

If you are a low-income family you must complete the benefits declaration section and recent proof of benefit must be sent in with this application form – failure to do so will cause delays in processing your application.

Benefits:*

Benefits proof uploader (maximum 5 files):
Please note: maximum file size 5mb

Browse Upload proof of income

If you receive one of the qualifying benefits (excluding free school meals) you will need to attach proof. This should be dated within the last 6 months

If your application for a seat is successful, do you intend to pay for the year in full or by installments by direct debit?*

In full Direct debit

Additional information:

Direct debit details

If your application is successful and you would like to pay by direct debit, please provide the following information. In the event that you are not successful in obtaining a seat, your account details will be erased, and no direct debit will be set up.

Can you confirm you that you hold a UK bank/building society account and that you are the account holder?*

Yes

Can you confirm that you are the only person required to authorise debits from this account?*

Yes

Name of account holder:*

Email address of account holder*:

Contact telephone number of account holder:*

Enter account holder address and choose the correct entry from the list:*

Account holder address line 1:*

Account holder address line 2:

Account holder address town:*

Account holder address postcode:*

Bank/building society account number:*

Branch sort code (XX-XX-XX):*

Building society reference number:

Please note the following:

Confirmation of the Direct Debit set up will be sent within 3 working days before the first collection and the method of notification, post or electronically.

Warwickshire County Council will appear against the Direct Debit payment on your bank account.

For any queries, please contact 01926 412929 or email educationtransport@warwickshire.gov.uk

Direct debit guarantee

This guarantee is offered by all banks and building societies that accept instructions to pay direct debits.
If there are any changes to the date, amount or frequency of your Direct Debit, Warwickshire County Council will always give you 3 working days’ notice in advance of your account being debited.
If an error is made in the payment of your direct debit, by WCC or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

If you receive a refund you are not entitled to, you must pay it back when WCC asks you to.

You can cancel a direct debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

By clicking submit, you acknowledge that you have read and understood the terms and conditions applicable to you. A full copy of these can be found at www.warwickshire.gov.uk/schooltravel.

Your information rights

To see how we use your personal data and what your information rights are, please read our overall customer privacy notice at www.warwickshire.gov.uk/privacy which includes the contact details if you have a complaint about your information rights. For general enquiries, please contact Warwickshire County Council's customer service centre on 01926 410410.

Application for transport assistance for students aged 16-18 with special educational needs and/or learning difficulties or disabilities attending special schools and colleges

Transportation policies

Academic year

Student details