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It serves as a standardized reporting tool for bus drivers to document behavioral incidents involving students during school transportation. The form collects essential information, including student details, incident specifics, the driver's descriptive account of the event, and a comprehensive list of potential violations ranging from bullying and vandalism to safety procedure breaches. Additionally, the form includes a designated section for school administrators to record disciplinary actions taken, such as conferences, detention, suspension, or the loss of ridership privileges. Designed for administrative use, this form ensures a formal communication channel between transportation staff, school administration, and parents regarding the maintenance of a safe and orderly school bus environment.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":57,"@type":76,"position":81},"https://docshare.wps.com/document/general/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/school-bus-student-conduct-referral-form/536911/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/school-bus-student-conduct-referral-form/536911.png","ImageObject",300,407,{"name":92,"@type":93},"Ben ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information should a bus driver include in the referral form?","Question",{"text":113,"@type":114},"The bus driver should provide the student's personal details, the date, time, and location of the incident, the bus number, and a descriptive account of the behavior observed.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are some examples of violations listed on the form?",{"text":118,"@type":114},"Violations include inappropriate language, bullying, vandalism, fighting, horseplay, eating or drinking, littering, and failure to follow safety procedures.",{"name":120,"@type":111,"acceptedAnswer":121},"Who is responsible for completing the 'Administrative Use Only' section?",{"text":122,"@type":114},"The 'Administrative Use Only' section is reserved for school administrators to record the disciplinary actions taken, such as conferences, probation, suspension, or parent contact, following an incident.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},536911,1791792726,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":56,"category_name":57,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":14},2336478951081,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Use your \"Mouse\" or \"Tab\" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click print button.   \n100 North First Street, E-320 Springfield, Illinois 62777-0001  \nSCHOOL BUS  \nSTUDENT CONDUCT REFERRAL FORM  \nFUNDING AND DISBURSEMENTS DIVISION  \nInstructions: Please complete this form and return to the school office.  \n\n| NAME OF STUDENT (First, Middle Initial, Last) | SEX\u003Cbr> Male  Female | GRADE |\n| --- | --- | --- |\n| NAME OF SCHOOL | DATE OF INCIDENT | TIME OF INCIDENT\u003Cbr>   a. m.  p. m. |\n| LOCATION OF INCIDENT | BUS NUMBER |  |\n| DRIVER’S NAME | DATE REFERRED |  |\n\nDriver’s description of incident (attach additional information if needed):  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\n__________________________________________________________________________________________________________  \n____________________________________________________________________________________________________________  \nViolation (Check all that apply) :  \nAnnoying / Rude Drinking / Eating Inappropriate Language  \nSmoking  \nBullying  \nExcessive Mischief Littering  \nVandalism  \nDisobedience  \nFighting / Horseplay  \nSafety Procedure  \nDisrespectful Harassment  \nTripping  \nOther:    \nOriginal Signature of School Bus Driver:   Date:    \n\n| ADMINISTRATIVE USE ONLY |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Action(s) taken (Check all that apply) : |  |  |  |  |  |  |  |  |  |  |\n| | Conference\u003Cbr>Probation | | Detention\u003Cbr>Suspended |  |  | | Loss of Ridership (may return)  Parent(s) Contacted\u003Cbr>Other:   |  |  |  |\n| Original Signature of Administrator:   Date:   |  |  |  |  |  |  |  |  |  |  |\n| |  | Administrator’s Copy |  | | Driver Copy | | File Copy | | Parent Copy |  Transportation |\n\nISBE 50-55 (9/17) Provided by the Illinois State Board of Education. Please return form to school.  Print   Reset Form","cbCailsBcqQKamAE","https://ap.wps.com/l/cbCailsBcqQKamAE","pdf",210591,"English","# School Bus Student Conduct Referral Form\n## Incident Documentation\n## Violation Categories\n## Administrative Action Record","[{\"question\":\"What information should a bus driver include in the referral form?\",\"answer\":\"The bus driver should provide the student's personal details, the date, time, and location of the incident, the bus number, and a descriptive account of the behavior observed.\"},{\"question\":\"What are some examples of violations listed on the form?\",\"answer\":\"Violations include inappropriate language, bullying, vandalism, fighting, horseplay, eating or drinking, littering, and failure to follow safety procedures.\"},{\"question\":\"Who is responsible for completing the 'Administrative Use Only' section?\",\"answer\":\"The 'Administrative Use Only' section is reserved for school administrators to record the disciplinary actions taken, such as conferences, probation, suspension, or parent contact, following an incident.\"}]","School Bus Student Conduct Referral Form | PDF",1791603574]