Special Request Transportation Form

This request form can be filled out by a family who is requesting transportation from an alternate address other than the students home address.

2026-2027

School

Last Name

First Name

Birth Date

Start Date

Contact

Last Name

First Name

Home Phone Number

Mobile Phone Number

Work Phone Number

Relationship

Please provide any additional comments here

Address

Street #

Street Name

City

Zip Code

Bus Stop Type

BOTH

Requested Start Date

Please include below your requested end date for transportation

Submitted by

Select all options

I acknowledge that submitting this transportation request form does not guarantee approval for transportation services. All requests will be reviewed based on eligibility and availability. Once the review process is complete, a response regarding the status of your request will be sent to the email address provided on the form.

Last Name

First Name

Collection authority: Yukon’s Access to Information and Protection of Privacy (ATIPP) Act s.15(a) and (c)(i), s. 16(2)(d)(xiii) and 118(1)(e), Education Act and Student Transportation Regulations.

For more information about how we collect and use personal information contact the Department of Education Transportation Line on 867-667-9079.

We collect and use personal information through this online form so we can ensure student safety, determine eligibility and provide student transportation services as a contractor to the Government of Yukon Department of Education. Non-identifying data and information may be used for statistics, reporting and service delivery review.  

Notice of Video Surveillance

School bus video surveillance is carried out under the authority of the access to information and Protection of Privacy (ATIPP) Act s.15(a) and (c)(i) and the Education Act, to ensure student and driver safety and security, deter unsafe and illegal activities, and investigate complaints or criminal conduct and student misconduct.

If you have any questions about video surveillance, contact the Operations by email at student.transportation@yukon.ca

Special Request Transportation Form

More than one student matches the criteria submitted. Please select the student to use

<%= Resource: Campaigns_Prompt%>