WAPPINGERS CENTRAL SCHOOL DISTRICT
WAPPINGERS CENTRAL SCHOOL DISTRICT
TRANSPORTATION DEPARTMENT
55 MAJOR MAC DONALD WAY
WAPPINGERS FALLS, NY 12590
845-298-5225
FAX 845-298-5210
School Bus Stop Decision Appeal Form
Please complete a separate form for each decision being appealed. All forms must be returned to the Transportation Department within 14 days of the date on the initial decision letter. Decisions of the Appeal Committee are final.
Parent/Guardian Name ___________________________________ Date Submitted ______________
Last First.
Home Address _____________________________________________ Day Phone ______________
_____________________________________________ Night Phone ______________
Student’s Information
Name ______________________________ Grade _______ School_____________________________
Last First.
Name ______________________________ Grade _______ School_____________________________
Last First.
Name ______________________________ Grade _______ School_____________________________
Last First.
Location of Stop being appealed ________________________________________________________
Reason for your appeal ________________________________________________________________
___________________________________________________________________________________
What additional information can you provide that would assist the Appeal committee? ______________
___________________________________________________________________________________
___________________________________________________________________________________
Parent/Guardian Signature ___________________________________________ Date ______________
The Appeal Committee will notify you of their decision within 30 days.
------------------------------------------------------------------------------------------------------------------------------------------------------
To be completed by the Appeal Committee
Date Received _______________ Received by _____________________________________________
Appeal Committee Decision: Approved ______ Disapproved ______
Date of Notification _______________ If approved, effective date of change ___________________
Date of Notification mailing ___________
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