SEND Travel Application | Wiltshire Council

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SEND Travel Request Application

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Post 16 Student Transport

If you are wishing to apply for Post 16 support with travel in accordance with the SEND Transport Policy for your child please complete the form below.

Applications for September start will need to be submitted by 31st July or it cannot be guaranteed that transport will be in place for the start of term.

This should be completed if your child is continuing in full time education after the age of 16 either at school or college and is unable to travel on mainstream transport. You should complete this form even if your child is staying at the same setting and is already on transport.

Please note that support with travel is only provided for those who meet the eligibility criteria outlined in the policy document. Please refer to Wiltshire Council Local Offer for additional information.

There is no free travel available for 16 to 19 year old students; however, the Council offers a subsidised travel scheme. We can now offer reduced rate travel of £315 per annum for students whose gross household income is less than £20,819 and for all other students the charge will be £685. Travel arrangements will not be put in place until the full payment has been made or the Direct Debit for instalment payments has been set up.

If you are applying for transport and your son/daughter is over 19 years old on 1st September, transport will be provided free of charge.

If you need help completing the form text or need any further information, please do not hesitate to contact me on 01225 757943 or via email to SEND.transport@wiltshire.gov.uk

Student Details

Student first name : *

Student middle name :

Student last name : *

Student date of birth : (e.g. 01/01/1980) *

Contact email address : *

Parent Name :

If student is over 18, does the parent have parental responsibility ?

Additional student details

Home address line 1 : * (permanent residence)

Home address line 2 :

Home address line 3 :

Home address 4 :

Home postcode : *

Telephone :

Mobile telephone number :

Emergency contact details

If in an emergency, you are ever not at home or at the pick-up point to receive your child, is there a responsible adult other than yourself who lives near to your home who has previously agreed to look after your child? If so, please give details.

Emergency contact name : *

Emergency contact address line 1 : *

Emergency contact address line 2 :

Emergency contact address line 3 :

Emergency contact address line 4 :

Emergency contact postcode : *

Emergency contact telephone : *

School or college details

Name of school or college to which transport is required :

Date from which transport is required :

Days attending school/college ? :

Course year : (for example 1st, 2nd or 3rd)

College transport will not be put in place until a college timetable is provided and sent to SEND.transport@wiltshire.gov.uk. You will be given a unique application reference number once you have submitted this application form which you may quote when contacting us.

Transport details

Please indicate which type of transport required using the tick boxes below.

Bus pass :

Reimbursement for fuel costs :

If other, please state the reasons why your son/daughter is unable to travel on mainstream transport in the box below.

Have you had transport provided by Wiltshire Council before ?

Special Requirements

Does your son/daughter use a wheelchair ?

If YES, can they transfer out of their wheelchair into a vehicle seat with minimal assistance or with the assistance of a "Patslide" ?

Wheel chair make :

Wheel chair model :

Please note if your son/daughter uses a wheelchair an on-site assessment will need to take place prior to transport commencing.

Medical Information

Please tick if your son / daughter has any of the following :

Asthma :

Epilepsy :

Allergies :

Vomiting :

Travel Sickness :

Incontinence :

Other medical information (please describe)

Does your son/daughter have an medical flow chart / care plan ? *

If Yes a copy must be emailed to our team. We will give you instructions on how to do this after you have completed and submitted this form.

Please ensure that Passenger Transport are informed of any change in health needs.

If we are not advised of health need changes we reserve the right to suspend transport.

Additional Medical Information

Please can you provide additional information about your son/daughter's medical condition e.g. frequency of seizures etc.

Is your son/daughter taking any regular medication ?

If so, is it required to be transported with them? If yes, please give details in the box below :

General Information

Does your child use a harness or car safety seat ?

If the answer to the above is Yes then what make and model of harness or safety seat is used ? Please use the box below.

Parental Support

Would you consider providing transport yourself with re-imbursement of petrol costs ?

Independent Travel

We provide travel training for mainstream transport as a preferred option. Do require this ?

If No, please state why you are unable to consider this as an option :

Payments

Please select one from the 2 options below :

I am applying for travel at the cost of £315 :

I am applying for travel at the cost of £685 :

Please select one of the 3 options listed below :

I wish to pay by instalments (these will be spread over 7 payments completed by the beginning of March 2024, Further information regarding instalment payments will be sent to you) :

I will pay by credit debit card - details will be forwarded to you :

I will send a cheque made payable to Wiltshire Council for £315 or £685 - please include the student’s name on the reverse :

Data protection

Data protection statement – Data Protection Act

Wiltshire Council has a duty to protect personal information; Wiltshire Council will process this information in accordance with the Data Protection Act 1998. This information will be stored on the computer and manual files. This personal data will be used only for the purpose of providing transport, or purposes relating to this service.

Please note we require a minimum of 3 weeks from receipt of your application to arrange suitable transport and potentially this could take longer due to the complex needs of some students.

Submit your application