KYRENE SCHOOL DISTRICT
TRANSPORTATION DEPARTMENT
SCHOOL BUS VIDEO REVIEW REQUEST
     
Requestor's Name
 Requestor's Phone Number
 Requestor's Email
Requestor's Location
 School
 Bus #
Date of Incident
 Time of Incident AM/PM
 Route Time Frame
 
Student Location
 		    
 

THE FOLLOWING BUS RULE INFRACTIONS APPLY TO THIS INCIDENT:
(Check all that apply)
1) Be courteous and respectful and follow the direction of the driver at all times
 2) Stay in assigned seats, facing forward while the bus is in motion
 3) Keep hands, feet and objects to yourself and inside the bus
 4) Do not engage in any verbal or physical behavior that disrupts the ride or distracts the driver
 5) Talk in a normal tone; shouting, inappropriate language, singing, pushing, touching, etc., are not allowed
 
Description of incident:
 
 
Once submitted, this information will be forwarded to the Transportation department.
Please allow ample time for the Transportation staff to read/respond to your request.