Transportation Bus Request Form (07.01.25)

Transportation Bus Request Form
- Organization's Name
- Event Description
- Event Start Date
  
  MonthDayYear
  Date
- Departure Time
  
  Hour Minutes
  
  AM/PM Option
- Event End Date
  
  MonthDayYear
  Date
- Return Time
  
  Hour Minutes
  
  AM/PM Option
- The Event End Date cannot be before the Event Start Date!
- Drop Off Location
- Drop Off Location (Name)
  Example: Liberty Science Center
- Drop Off Location (Address)
  Example: 123 Main Street
- Drop Off Location (City)
- Drop Off Location (Other City)
- Drop Off Location (State)
- Drop Off Location (Zip Code)
- Pick Up Location
- Pick Up Location (Name)
  Example: Liberty Science Center
- Pick Up Location (Address)
  Example: 123 Main Street
- Pick Up Location (City)
- Pick Up Location (City Other)
- Pick Up Location (State)
- Pick Up Location (Zip Code)
- Bus Request and Estimated Cost
- Number of Attendees
- Estimated Bus Cost
- Estimated Driver Cost
- Estimated Total Cost
- Kindly choose the category of passenger buses you prefer
- How many 54 Passenger bus?
- How many 39 Passenger bus?
- How many 29 Passenger bus?
- How many 24 Passenger bus?
- Additional Comments
- Requestor's Name
  
  First NameLast Name
- Title
- Requestor's Email Verification
- Your email requires verification before submission.
  1. Please input your email address below.
  2. Click the Verify Email button.
  3. An email will be sent to you. Please make sure you check your spam or junk mail.
  4. Check your email then copy and paste the verification code into the box and click Confirm Code.
  Sample Email:
- Email Validator
- Office Phone #
  Please enter a valid phone number.Format: (000) 000-0000.
- Mobile Phone #
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor's Name
  
  First NameLast Name
- Supervisor's Title
- Supervisor's Email
- Supervisor's Office Phone #
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor's Mobile Phone #
  Please enter a valid phone number.Format: (000) 000-0000.
- Name of person responsible for transportation request payment
  
  First NameLast Name
- Organization's Billing Street Address
- Organization's Billing Street Address 2
- Organization's Billing City
- Organization's Billing City (Outside Hudson County)
- Organization's Billing State
- Organization's Billing Zip Code
- Signature
- By requesting use of HCST transportation you are responsible to enforce all of the state and federal regulations with respect to the use of this transit and furthermore by accepting the use of this equipment you agree that you or your organization will be solely responsible to defend and indemnify the Hudson County Schools of Technology in the event that a COVID related claim is made as a result of your use.
- Name
  
  First NameLast Name
- Signature
  
  Clear
- Date
  
  MonthDayYear
  Date
- Telephone (201) 662-6581 or (201) 662-6583 | One High Tech Way | Secaucus, NJ 07094
  
  Mission Statement
  We are an innovative, collaborative and diverse community that empowers lifelong learning by educating students for careers.
  
  “IT IS THE POLICY OF THE BOARD OF EDUCATION OF THE HUDSON COUNTY SCHOOLS OF TECHNOLOGY NOT TO DISCRIMINATE IN EMPLOYMENT OR EDUCATIONAL OPPORTUNITY AGAINST ANY PERSON BY REASON OF RACE, COLOR, NATIONAL ORIGIN, ANCESTRY, AGE, SEX, AFFECTIONAL OR SEXUAL ORIENTATION, MARITAL STATUS, LIABILITY FOR SERVICE IN THE ARMED FORCES OF THE UNITED STATES, OR ATYPICAL HEREDITARY CELLULAR OR BLOOD TRAIT OF ANY INDIVIDUAL, IN EMPLOYMENT OR IN EDUCATIONAL OPPORTUNITIES. FURTHER STATE AND FEDERAL PROTECTION IS EXTENDED ON ACCOUNT OF DISABILITIES, SOCIAL OR ECONOMIC STATUS, PREGNANCY, CHILDBIRTH, PREGNANCY-RELATED DISABILITIES, ACTUAL OR POTENTIAL PARENTHOOD, OR FAMILY STATUS.” Inquiries regarding affirmative action, discrimination (including Title IX requirements), sexual harassment or equity should be directed to: Alicia Abraham Affirmative Action Officer/504 Officer/Title IX Coordinator Hudson County Schools of Technology One High Tech Way, Secaucus, NJ 07094 201-662-6724 or Email: aabraham@hcstonline.org
- Organization's Name Completed
- Event Start Date and Departure Time for Calendar
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Event End Date and Return Time for Calendar
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Drop Off Location
- Pick Up Location
- 54 Passenger Bus Concatenate
- 39 Passenger Bus Concatenate
- 29 Passenger Bus Concatenate
- 24 Passenger Bus Concatenate
- Number of Buses Requested
- Requestor's Email
- Transportation Remittance Name
- Billing City
- Transportation Remittance Address
- Transportation Remittance City State Zip
- Signature Name
- Transportation Staff Concatenate
- Board Secretary
- Business Administrator

Transportation Department's Approval
TRANSPORTATION BUS REQUEST # {transportationRequest3}
Date of Request: {date}

TRANSPORTATION REQUEST INFORMATION
Organization's Name: {organizationsName}
Event Description: {eventDescription}
Event Start Date: {eventStart}
Departure Time: {departureTime}
Event End Date: {eventEnd}
Return Time: {returnTime}
Drop Off Location: {dropOff}
Pick Up Location: {pickUp}
Number of Attendees: {numberOf}
Number of Buses Requested: {numberOf24}
Additional Comments: {additionalComments}

REQUESTOR’S CONTACT INFORMATION
Requestor's Name: {requestorsName}
Title: {title}
Email: {requestorsEmail}
Office Phone #: {officePhone}
Mobile Phone #: {mobilePhone}

SUPERVISOR’S INFORMATION
Supervisor's Name: {supervisorsName}
Supervisor's Title: {supervisorsTitle}
Supervisor's Email: {supervisorsEmail}
Supervisor's Office Phone #: {supervisorsOffice}
Supervisor's Mobile Phone #: {supervisorsMobile}

TRANSPORTATION REQUEST REMITTANCE INFORMATION
{nameOf}
{transportationRemittance51}
{transportationRemittance52}
Transportation Department
Vehicle Driver Availability?
Transportation Staff's Name

Other
Transportation Staff's Email
Transportation Department - Today's Date

MonthDayYear
Date

Transportation Supervisor's Approval
- TRANSPORTATION BUS REQUEST # {transportationRequest3}
  Date of Request: {date}
  
  TRANSPORTATION REQUEST INFORMATION
  Organization's Name: {organizationsName}
  Event Description: {eventDescription}
  Event Start Date: {eventStart}
  Departure Time: {departureTime}
  Event End Date: {eventEnd}
  Return Time: {returnTime}
  Drop Off Location: {dropOff}
  Pick Up Location: {pickUp}
  Number of Attendees: {numberOf}
  Number of Buses Requested: {numberOf24}
  Additional Comments: {additionalComments}
  
  REQUESTOR’S CONTACT INFORMATION
  Requestor's Name: {requestorsName}
  Title: {title}
  Email: {requestorsEmail}
  Office Phone #: {officePhone}
  Mobile Phone #: {mobilePhone}
  
  SUPERVISOR’S INFORMATION
  Supervisor's Name: {supervisorsName}
  Supervisor's Title: {supervisorsTitle}
  Supervisor's Email: {supervisorsEmail}
  Supervisor's Office Phone #: {supervisorsOffice}
  Supervisor's Mobile Phone #: {supervisorsMobile}
  
  TRANSPORTATION REQUEST REMITTANCE INFORMATION
  {nameOf}
  {transportationRemittance51}
  {transportationRemittance52}
- Transportation Department's Approval
- Vehicle Driver Availability: {vehicleDriver}
  
  Approved By: {transportationStaffs}
  
  Approval Date: {transportationDepartment77}
- Transportation Supervisor's Approval
- Transportation Supervisor - Do you Approve or Deny this request?
- Transportation Supervisor's Name
- Transportation Supervisor's Email
- Transportation Supervisor's Signature
  
  Clear
- Transportation Supervisor - Today's Date
  
  MonthDayYear
  Date

Transportation Staff to Input
Bus Request Status
# of Buses
Rate $
Total Driver Hours
Other $
If none, input 0
Amount
Transportation Notes - Input Driver's Name
Select the Transportation Staff who completed these notes

Other

Business Department - Invoice
Transportation Notes Completed By {selectThe}

Transportation Bus Request #: {transportationRequest3}
Bus Request Status: {busRequest}
# of Buses: {Of}
Rate $: {rate}
Total Driver Hours: {totalDriver}
Other $: {other}
Amount $: {amount}

Transportation Notes: {transportationNotes}
Is there a charge?
No charge as per

Other
Do you want this invoice to be emailed?
Date Invoiced

MonthDayYear
Date
Invoice #
$ Amount Invoiced
$ Amount Invoiced Calculation
Due Date

MonthDayYear
Date
$ Gas Price
Accounts Receivable - Invoice Notes
Accounts Receivable - Today's Date

MonthDayYear
Date

Business Department - Bus Request Payment
Payment Information for Invoice {invoice}

Transportation Bus Request #: {transportationRequest3}
Date Invoiced: {dateInvoiced}
$ Amount Invoiced: {Amount126}
$ Gas Price: {Gas}
Date Check Received

MonthDayYear
Date
Check #
$ Amount Received
$ Amount Received Calculation
Accounts Receivable - Invoice Payment Notes
Should be Empty:

Transportation Bus Request Form

Drop Off Location

Pick Up Location

Bus Request and Estimated Cost

Requestor's Email Verification

Signature

Transportation Department's Approval

Transportation Department

Transportation Supervisor's Approval

Transportation Department's Approval

Transportation Supervisor's Approval

Transportation Staff to Input

Business Department - Invoice

Business Department - Bus Request Payment