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PPS Special-Ed Transportation
PAUSE
Request Form - Please read
carefully!
Please use this form
ONLY
if
the student rides in a
SMALL BUS, VAN, SUV or PPS SEDAN.
If the student rides in a
PRIVATE CAB
(Radio Cab, Yellow Cab, Broadway Cab etc.), please contact Student Transportation at the number listed below.
Please provide
at least
4 hours notice if possible.
If it is unknown how long the student will not require transportation, please submit a
one day
PAUSE
request, and fill out a new form each day as needed.
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* Indicates required question
STUDENT'S NAME:
*
Please enter the
STUDENT'S NAME
Your answer
SCHOOL
/PROGRAM:
*
Please enter the
SCHOOL/PROGRAM
the student attends.
Your answer
PAUSE FROM:
*
Please enter the date the
PAUSE
should
BEGIN
.
MM
/
DD
AM/PM
*
Please choose which ride portion to
BEGIN
the
PAUSE
:
AM
(Ride
to
s
chool)
PM
(Ride home
from
school)
AM
PM
RESTART ON:
*
Please enter the date transportation
should
RESTART.
MM
/
DD
AM/PM
*
Please choose which ride portion to
RESTART
transportation.
AM
(Ride
to
s
chool)
PM
(Ride home
from
school)
AM
PM
ROUTE #(S):
*
Please enter the applicable ROUTE #(S).
Please Indicate
AM/PM
if the student rides different routes in the morning and afternoon
(example: 456 AM, 567 PM).
If you do not know your student's ROUTE #(S), please enter ???
Your answer
NOTES:
Please enter any additional relevent information (Not required).
Your answer
SUBMITTED
BY:
*
Please enter your Name
and
Contact #
Your answer
If you need further assistance please contact the PPS Student Transportation Office at: (503) 916-6901 and select OPTION #4 to speak with a representative.
By clicking on SUBMIT below, I affirm and certify that I am a responsible adult and authorized to make this request. All the information and answers to questions herein are complete, true and correct to the best of my knowledge.
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