CHANGE OF BUS CONTROLLER BETWEEN SCHOOLS THIS FORM IS

School and route details

Responsibility for appointing a bus controller for the route(s) listed below will transfer from:

(school name)

Responsibility for appointing a bus controller for the route(s) below will be transferred to:

(school name)

Effective date

This must be the start of a term.

Please list the route(s) being transferred in the boxes below:

Certification

This section needs to be completed by a board member of each school.

We confirm that all bus controller claims for the route(s) listed above are up to date and that claims will not be made by the transferring school after the date of the handover.

It is also confirmed that the receiving school will take over all of the bus controller responsibilities associated with the route.

Board member’s name

Date

Board member’s signature

Name of school

Board member’s name

Date

Board chair’s signature

Name of school