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Apply for Income Assessed Home to School Transport - Online Application

Please note: this application form is for Staffordshire resident pupils in year groups 7-11 only.

Please ensure that you have read the guidance criteria on eligibility before completing this form. 

  • Details of Child
    A separate application form should be completed for each child that requires transport.
  • Current year group
  • Gender
  • Title
  • Relationship to child
  • Reason why transport is required
    (see previous web pages for eligibility guidance). Please tick appropriate boxes and attach any supporting evidence as detailed.
  • I am registered with the Authority as eligible for free school meals (we will check our records to confirm that this is the case).
  • I am in receipt of the maximum level of Working Tax Credit and enclose a copy of my Tax Credit Award Notice (form TC602) or a recent letter from the benefits agency confirming receipt of maximum Working Tax Credit (if this is not enclosed your application will be refused).
  • Along with the above please identify which of the following is applicable.
  • I wish to apply for transport to the school named above which is one of the three nearest suitable schools within 2 to 6 miles from our home address.
  • I wish to apply for transport to the school named above as the nearest school within 2 to 15 miles of our home address, preferred on the grounds of our religion or philosophical beliefs (you must provide supportingwritten evidence as to why and how the school meets your religious or philosophical beliefs).
  • Declarations
  • I certify that I have parental responsibility for the child named and that the information given is true to the best of my knowledge.
  • I agree that the information provided on this application form will be used to ensure that the council’s records are correct and may also be shared with other agencies and service providers to ensure that my family receives an appropriate service. The full data protection statement is available.
  • I agree that the information I have provided is true to the best of my knowledge, and understand that any false or deliberately misleading information provided on this form and/or supporting papers may render this application invalid and could lead to the withdrawal of travel assistance.
  • I agree that that the School Admissions and Transport Service can contact any relevant agencies in order to validate this application.

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