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School Incident Report

Operator

Route

Run

Driver

Driver

Student Name

Student Last Name

Student First Name

Gender

Grade

School

Date & Time of Misconduct

REASON FOR REPORT

fighting on the bus	possessing and/or using alcohol or drugs
throwing objects	littering the bus
yelling or talking loudly	causing wilful damage to bus/equipment(ie. cutting seats)
using inappropriate language or gestures	projecting parts of body out of window
disrespectful/disobeying the driver's instruction	sitting in an unauthorized seat
teasing or harassing others (verbally or physically)	unauthorized opening of doors, windows or emergency equipment
entering/exiting bus in a disruptive manner	eating or drinking on the bus
standing/moving about the bus while it is in motion	smoking/vaping or lighting matches
blocking the aisle	Others (specify in comments)

Details and comments:

Incident Report #:

Inappropriate student behavior may result in the suspension of a student from the school bus for up to 10 school days.

Suspensions longer than 10 days will be determined by Programs and Student Services for repeated incident reports and/or serious safety concerns.

Transportation/School Use

Action taken (Select all that apply)

Conference with student

Communicated with parents

In-school consequence

Bus privileges suspended

Other

No. of Days Suspended

Comments:

Submitted by

Last Name

First Name

Email

Confidentiality Statement In accordance with the Personal Information Protection and Electronic Documents Act, Article 29, Paragraph (2), personal information requested in this form will assist in providing transportation services. The information is gathered in accordance with the Education Act S.R.O. 1980, c. 129, s.166 (1).

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