Bus Stop Change Review Request 21-22

Bus Stop Change Review Request Form
If you believe there is a safety concern with your student's bus stop location please complete this form. Please review our transportation webpage at www.district279.org/services/transportation and Transportation Policy 707 prior to completing this form.

At the beginning of each school year - No bus stop changes will be made or reviewed until October as routes are fixed and school bus drivers are learning their routes.

** Do not complete this form if you need an address change - contact your school secretary. If you are requesting an additional stop for joint custody, or want to add a daycare address please email busquestions@district279.org
I understand that bus stops are designed to service several students in a neighborhood and are located as centrally possible for all students assigned. *

I agree I disagree
Please explain why you disagree. *
I understand that bus stops cannot be established based upon personal circumstances: such as employment, daycare, line-of-site issues, personal issues, etc... *

I agree Disagree
Please explain why you disagree. *
I understand that bus stops will not be changed/moved to accommodate daycare facilities private or commercial. *

I agree Disagree
Please explain why you disagree. *
I understand that the parent/guardian is responsible for getting their student(s) safely to and from the bus stop. *

I agree Disagree
Please explain why you disagree. *
I understand that buses are not permitted to travel into cul-de-sacs, private roads or dead-end streets. *

I agree Disagree
Please explain why you disagree. *
I understand the availability of sidewalks/paved pathways are not considered due to most of the neighborhoods served were designed without them. *

I agree Disagree
Please explain why you disagree. *
I understand that the bus driving past my home does not warrant changing/moving the bus stop *

I agree Disagree
Please explain why you disagree. *
I understand that being able to see the bus stop from your home does not warrant changing/moving the stop location. *

I agree Disagree
Please explain why you disagree. *
Students Name *

First Name Last Name
School *
Grade *
Bus Number
Bus Stop Location *
Please describe in detail the safety concerns with the current bus stop. *
The description must state specific safety concerns, we are unable to review convenience requests
Please explain how you would like to see the stop changed. *
Parent/Guardian Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number

Stop Evaluation
Evaluator

First Name Last Name
Date

Month Day Year
Date
Reason for Evaluation
Location of Bus Stop
Bus Number
School
AM Stop Time *

: Hour Minutes AM/PM Option
PM Stop Time

: Hour Minutes AM/PM Option
Parent/Guardian Requesting Evaluation

First Name Last Name
Students Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number

General Stop Data and Measurements
Bus Stop is located in what type of area?

Residential Commercial Industrial
Metropolitan Council Roadway Classification
Posted Speed Limit
MPH
Farthest a student is from the bus stop in feet?
in feet
Number of Students Assigned to Stop?
Is the stop reasonably centrally located for all students based on geographic and roadway design?

Yes No
What is the total width of the roadway in feet?
in feet

What is the visible clear line of sight distance? A minimum of 100' for 35 MPH or less and 300' for 40 MPH or greater.

	North	East	South	West
Line of sight distance in feet:

Stop Anaylsis
Is the stop located in a right-turn lane?

Yes No
Is the stop located at least 300' from railroad tracks?

Yes No N/A
Is the stop visible to motorists from a minimum distance of 100' in a 35 MPH or less speed zone?

Yes No N/A
Is the stop visible to motorists from a minimum distance of 300' in a 40 MPH or greater speed zone?

Yes No N/A
Has a "SCHOOL BUS STOP AHEAD" sign been placed prior to the stop if it has been determined to have restricted sight (300' or less) visibility due to being placed on the crest/downgrade of a hill or at some point on a curve?

Yes No N/A
Is the stop free of some type of road construction or other construction taking place that poses a danger to students at the stop?

Yes No
Please Describe
Is the stop free of obstructions that lessen student, motorist, and school bus driver visibility, including shrubbery, utility poles, walls, fences, trees?

Yes No
Please Describe

Final Determination
Final Determination of Request?

Approved Not Approved
Explanation of final determination:
Should be Empty: