Homepage

Mobile Access

Android App
Available in the Marketplace.

iPhone App
Available in the App store.

Other smart phone devices can use the mobile version of our website

This is a cross-site promotion

You are here: Homepage > Bus > School and College Transport > Travel Assistance (Under 16) > Application Form

Travel Assistance Application Form for Pupils Under the Age of 16


Pupil's Ethnicity:
Pupil's First Name(s) (in full):
Pupil's Surname:
Pupil's Gender
Section 1
Pupil's Permanent or New Home Address	Please Enter Here
Postcode:
If Primary age please enter height (cm's):
Receipt of Free School Meal
Maximum Tax Credit
A photocopy of the certificate can be sent shortly to the address at the end of this form	I Agree
Section 2
Pupil's date of birth: (dd/mm/yy)
Parents contact details:
Tel no.
Mobile Number
Email*
Section 3
Name of School
Date of Admission (dd/mm/yy)
If not the 'designated' or 'nearest' school for your home address, please state reasons for this:	Please Enter Here
I have read the Guidance Notes and would like to apply	I Agree
If your application is being made on denominational grounds, you must complete this section of the form - Either section A or B will apply
Section A
Name of Parish
Local Parish Vicar/ Local Parish Priest
Letter from priest will be provided and sent to the address at the end of this form	I Agree
Section B
Please send your baptism certificate in the post to the address at the end of this form	I Agree
Please tick if this is an additional application to a family ticket	I Agree
Section 4
Change of Address Applications Only
If application is because of change of address, please state previous address and date of move and ensure new address is completed in section1.
Previous home address:	Please Enter Here
Postcode:
Date of move: (dd/mm/yy)
Particulars of any External Examination courses already being followed at the time of the move:-
Name of Course (e.g G.C.S.E.)	Please Enter Here
Subjects	Please Enter Here
Date of Examination: (dd/mm/yy)
Section 5
Do you have any details of how the journey will be made?
Other:
PLEASE NOTE THAT THE PASSENGER TRANSPORT GROUP WILL DECIDE UPON THE FORM OF ASSISTANCE PROVIDED
Please State the Preferred Boarding Point if Known
Please indicate required journeys	AM journey only PM journey only Both
Section 6
Name of school previously attended
Date of leaving: (dd/mm/yy)
Section 7 CERTIFICATION BY PARENT/CARER
I declare that I have read the information and agree to the conditions. I will notify the County Council of any changes to these details in the future. I understand that my address details may be shared with the service operator for the purposes of the ticket distribution and a photo may be required. I understand that pupils without a pass may be refused transport.
Please Confirm*	I Agree
Additional Information	Additional Information
Click Button to Submit form
Please send any supporting evidence to - The Education Travel Team, Worcestershire County Council, County Hall, WORCESTER

In this section

Forms

Documents

Bus services charter (72 KB)
Concessionary Pass Journeys Before 9:30 (29 KB)
Secondary School bus services October 2011 (6 KB)

> Get Adobe PDF Reader

More Information

See also in our website

External websites

Bus Users UK
(...giving bus passengers a voice)
National Express
(National Express coach bus & Train tickets)
PlusBus
(Cut the cost of your journeys to and from the train station)
Transport Direct
(Live travel news, journey planning, train times and more)
Traveline
(Local public transport information)

We are not responsible for the content of external sites. Read more

Page renewal and feedback:

Was this page useful?

4 Star Rating 3 Star Rating 2 Star Rating 1 Star Rating

This page was last reviewed 27 July 2011 at 14:28.
The page is next due for review 22 January 2013.

Email this page

Email to a Friend

Fill in the required details below to email this page to a friend.

Your Name
Your Email
Friends Name
Friends Email
Personal Message	I thought you'd be interested in this page You have characters left
Spam Checker Page Title Page URL

What happens when I send this form?

Add to Favourites Facebook Twitter

Share this Page