SERVICE DETAILS
Coordinating school name
Coordinating school address / Postcode
Coordinating principal / Telephone
Bus coordinator / Telephone
Bus operator / Telephone
Route name / Contract Number
Region
Purpose of Application
Route Extension
Does the application meet the January 2016 Policy and Procedures? / Yes / No / If no, please do not submit application. Reassess the application or contact the Student Transport Unit for assistance.
Route Variation / (indicate variation reason below)
Altering direction of route / Safety (requires operator report) / Operational Requirements (timetabling, travel times etc)
Network Variation (variation of two or more service/routes to meet network requirements)
Please indicate the date the variation/extension is required to become effective?
Evidence of endorsement from the following parties must be provided with this application.
School council endorsement / Please attach a copy of the school council resolution endorsing the extension or variation of the existing bus route.
Approval from the relevant road authority engineer is required where proposed travel is on roads currently not on the approved route.
Municipal engineer endorsement / Yes / N/A / / Please attach a certificate stating the roads to be used are suitable and safe to operate a school bus in all weather conditions.
VicRoads engineer endorsement / Yes / N/A
Applications for variation or extension will only be considered if an up-to-date student transport unit approved bus roll (for the entire network) is supplied(
Bus roll completed and supplied? / Yes / No
OFFICE USE ONLY
Department of Education and Training (DET)
Reviewed by / Position / Date received
Application meets policy requirements / Yes / No / Additional information required? / Yes / No
Date additional information requested from school / Date additional information received from school
Recommended / Not Recommended / Feedback provided to school / Date submitted to PTV
Signed
Comments
Public Transport Victoria (PTV)
Reviewed by / Position / Date received
Date reviewed / Approved / Not Approved
Date of proposed implementation / Route map and timetable prepared?
School informed / Yes / No / Operator informed / Yes / No
Signed / DET provided update/ outcome / Date:
Comments
Guidelines for completing variation or extension request
For all route extensions and variations, please ensure that appropriate consultation and communication has occurred with the school and broader School Bus Network community.
Please consider whether needs can be met by altering the bus stop (moving stop, additional stop, combining stops)
For all extension and variation requests the following is required;
Please ensure you provide all of the required information
- Summary of the proposal
- What is required
- Current route description (including left/right instructions of route, terrain, road surface(s), suitability of turning areas)
- Special features (including the likelihood of seasonal flooding)
- Additional service information for the area (SBP in the same network, SBP in neighbouring network and PT services)
- Benefits of the proposed service (including the nature of the benefits and the number of students who will benefit)
- Drawbacks of the proposed service (including the nature of the drawbacks and the number of students who will be disadvantaged)
- List any sections of the route that may present temporary or seasonal difficulties for use by a school bus
- Current map of service (if required, please contact PTV to obtainmost current map )
- Current route distance (from first pick-up point to school) and how it has been verified (e.g. online mapping or driving the route)
- Proposed map
- Proposed route distance (from first pick-up point to school) and how it has been verified (e.g. online mapping or driving the route)
- Network variation requires 2 additional maps (complete network map and proposed network map)
- Proposed additional students
- Student's surname and initial(s)
- Full residential address
- School to be attended
- Year of entry to school
- Distance of the student’s place of residence from the nearest existing bus route and the proposed bus route
- Affected existing students (full name, summary of their situation, distance to existing and proposed route, timetabling implications etc)
- Proposed timetable information for route
- Approved stops/proposed stops
- Review of kms (additional/ reduction)
- Adequacy of the existing vehicle to service the needs of students (if applicable)
Please attach proposal to a completed cover sheet ensuring ALL the information listed in the guidelines for completion has been provided.
Issued March2016Page 1 of 3