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Worcestershire County Council
School Travel & Walked Routes To School
Request for Independent Review
Please use this form if you wish to request a review of the decision not to award your child free transport to school.
1
Pupil's Details
Pupil's First Name
Pupil's Last Name
Pupil's Date Of Birth
School Name
2
Home Address
House No Or Name
Street
Area
Town
County
Post Code
3
Parent/Guardian Details
Parent Forename
Parent Surname
Email
Phone Number
Please Note:
All communications will be made via email (including a copy of the final decision), but if you would also like us to post you a copy of the final decision letter, please tick the box below.
I would like to receive a copy of the final decision letter by post
4
Reasons for Request for Review
I wish to appeal on the grounds that (please tick one or more of the following):
I consider the walking distance between my home and the school has been inaccurately measured and is over the statutory two or three miles
I consider the walking route between my home and the school is unavailable due to being unsafe for a child accompanied as necessary by an adult
I believe there are other reasons why my child should be treated as an exceptional case
5
Supporting Information
Taking account of the fact that you will have been provided with the reasoning why the application has been rejected. It is important that, where possible, you clarify any additional evidence you have in relation to your request for review. Please provide further information below in support of your appeal.
If you have a supporting document, you can select it here, and it will be submitted with your appeal.
To add associated files to the request, drag and drop files below
(Files must be smaller than 75MB)
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File Name
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6
Terms and Conditions
I agree to the Terms and Conditions in the
Children’s Services Transport & Travel Policy
Please tick the box above to indicate you agree to the Terms and Conditions
Submit Appeal
Thank You
Your request for independent review has been successfully submitted. Your reference number for this request is #0
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