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F.01.29 School Vehicle Complaint

Click to access a printable version of the F.01.29 School Vehicle Complaint Form

Route Number

Driver's Name (if known):

Date of Incident:

Time of Incident:

a.m.

p.m.

Location of Incident:

Complaint Registered By:

School

Parent

Bus Driver

Other

Contact Details

First Name

Last Name

Email Address

Phone Number

911 Address (Street Number, Street Name)

City

Postal Code

Description of Complaint: Describe complaint in detail (i.e. who, what, when, where, provide names, addresses and any details that will best describe what happened).

Attach additional files/photos if necessary.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Signature Acknowledgement

By checking this box and typing my name below, I am electronically signing this document.

Full Name:

Notice of Collection:

The personal information you have provided on this form and any other correspondence relating to transportation is collected by the Renfrew County Joint Transportation Consortium (RCJTC) under the authority of the Education Act (R.S.O. 1990 c.E.2) ss.58.5, 265 and 266 as amended. The information will be used to arrange appropriate transportation, and to give information to employees and transportation providers to carry out their job duties. In addition, the information may be used to deal with matters of health and safety or discipline and is required to be disclosed in compelling circumstances or for law enforcement matters or in accordance with any other Act. The information will be used in accordance with the Education Act, the regulations, and guidelines issued by the Minister of Education governing the establishment, maintenance, use, retention, transfer and disposal of pupil records. For questions about this collection, speak to the General Manager of the RCJTC, 999 Cecelia St., Pembroke, 613-732-8419.