Shared Custody Transportation Request Form

Cumberland Valley School District allows parents with equally shared physical custody of School District students to request school transportation services for their school-aged child(ren) from the primary residence of each parent, consistent with the general transportation protocol and only so long as each residence is within the assigned school boundaries.

Approval of the request is contingent upon the approval of the Transportation Manager and if the conditions listed below are followed and agreed upon by the parent/guardian.

  • Parents may only request school bus stops at their respective primary residences. If either parent wishes to have their child dropped off or picked up at an alternate care site, a Child Care Transportation Request Form must be completed for each student.
  • Parents must request school transportation to and from their respective primary residences for specific days of the week that correspond with the custody terms outlined in an approved custody agreement or order.
  • Please complete a separate form for each student.

Shared Custody Transportation Request Form

Please NOTE that it may take up to five (5) school days for changes to be made. You will be notified when the changes take place.

Please NOTE that one (1) form must be submitted for each student in need of transportation services due to Split Custody.

Student Last Name: 

Student First Name: 

Student Grade: 

Assigned School: 

School Year: 

Primary Parent/Guardian Name: 

Primary Daytime Phone #: 

Primary Email Address: 

Primary Street Address:  

Primary Street Address #2 (optional): 

Primary City: 

Primary Zip Code: 

Secondary Parent/Guardian Name: 

Secondary Daytime Phone #: 

Secondary Email Address: 

Secondary Street Address: 

Secondary Street Address #2 (optional): 

Secondary City: 

Secondary Zip Code: 

Custody Schedule


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