School Bus Pass Application Request Form

* All form fields are required.

Schools sites have a maximum number of riders. Bus passes will be issued on a first come first served basis. If your school is not listed below, transportation will not be available at this time.

Student Information
Student ID:  *
Date of Birth *      
Student Last Name First Name Middle Name
School Name: *
Grade Level: *
Bus Pass Type: * Bus Pass Trip: *
AM Bus Stop: * PM Bus Stop: * To review Bus Stop times, please click     Bus Stops
Please Note: Times subject to change based on ridership. Student to arrive at stop 5 minutes before posted time
Kindergarten thru 3rd Grade – Check One: *
                
                
Parent/Guardian's Information
Last Name *
First Name *
Middle Name
Email Address: * Primary Cell #: * Other Tele #:  
Address * City / Zip*  
Signature of Parent/Guardian I certify that...
  1. I have read the School Bus Guidelines. The above Student is aware of and will comply with the rules contained therein.
  2. The above information is correct and may be verified.
  3. I understand there are NO REFUNDS on Bus Passes unless family leaves School District or busing area.

Signature *


     - Students attending Rea, Whittier or Wilson.
    
- To qualify for FREE or REDUCED Bus Pass based on income eligibility


Requests are processed within five business days.

  Type of Bus Pass Round Trip One Way Only 
   AM or PM
  Annual          $360         $190
  Semester          $190         $100

Questions? Please contact:

   Bus Pass office or visit our website for most Frequently Asked Questions.
   Ph: 714.424.5080
   2985 Bear St., Building D
   Costa Mesa CA, 92626
   Open: M-F (7:00am - 4:00pm)

 


Thank you for completing the School Bus Pass Application form. A confirmation message will be sent to the email address provided.

Questions can be directed to: Bus Pass office

Newport-Mesa USD
Bus Pass office - Building D
2985 Bear St. Costa Mesa CA, 92626
Phone: (714) 424-5080