Bus referral 2026

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4.4 out of 5

72 votes

The document outlines the Bus Behavior Referral Form for Jefferson County Schools, emphasizing the importance of student conduct on school buses to ensure safety. It categorizes misconduct into four levels, detailing specific behaviors and corresponding sequential control measures for each level, ranging from warnings to potential suspension from bus services. The form requires signatures from the bus driver, administration, and parents to document actions taken.

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Click ‘Get Form’ to open the bus referral form in the editor.
Begin by entering the Bus Number in the designated field. This helps identify which bus is involved in the incident.
Next, select the Date and indicate whether it occurred in the A.M. or P.M. by circling your choice.
Fill in the Pupil's name and their School to ensure proper documentation of the student involved.
Review the Behaviors section carefully. Check all applicable behaviors that were observed during the incident, categorized by levels of severity.
Document any Sequential Control Measures taken by checking appropriate actions based on the behavior level.
Finally, have the Driver provide details and sign, followed by signatures from Administration and Parent to complete the form.

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Versions	Form popularity	Fillable & printable
2016	4.4 Satisfied (72 Votes)

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