Transportation Of Students/private Vehicles Declaration Form printable pdf download

Transportation Of Students/private Vehicles Declaration Form

Form 551-1

Transportation of Students/Private Vehicles

Declaration Form

Legal Reference:

Evergreen Catholic Separate Regional Div. No. 2

Administrative Procedures 551 – Transportation of Students/Private Vehicles

Date:

____________________________

I, ________________________________ agree to transport students in my private vehicle. Details of my

vehicle operator’s insurance are attached (copy which includes a minimum $2,000,000. bodily injury and

property damage coverage). I am aware that my insurance policy is primary or first loss insurance and

the insurer has been informed of the practice of occasionally transporting students.

1. The Principal may authorize the use of private vehicles to transport students subject to the following

conditions:



Be in possession of a valid driver's license.



School bus, taxi or parent/guardian transport of the student is not feasible.



Adequate measures are established to ensure student safety.



Adequate insurance coverage on the vehicle is maintained.



Responsible adults are assigned as drivers.

2. When private vehicles are being used to transport students, the following conditions must be

adhered to:

The Principal or designate must authorize the use of a private vehicle, in writing.

(use Form 551-1 Transportation of Student/Private Vehicle Declaration Form)

No staff/students shall be transported in a fifteen (15) passenger van for any

Division activities.

Details (photocopy) of the vehicle insurance coverage must be filed with the

Principal.

Division employees transporting students must hold a current Class IV license.

Employee has a current Class IV Driver’s License: _____YES

______ NO

Current vehicle registration provided:

_____ YES

______ NO

Primary insurance coverage for vehicles used to transport students on authorized

trips must provide bodily injury and property damage coverage of at least two

million dollars ($2,000,000).

August 2014

Transportation Of Students/private Vehicles Declaration Form