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Page 1: Specialized Transportation Trip Log - Monthly Additional Run · Web viewSpecialized Transportation Trip Log - Monthly Additional Run Last modified by: ... ` `+ ӈ kF 6 ܤ a =P Ԑ

Additional Run (“AR” Trips between schools or out of district locations.) Specialized Transportation Monthly Trip Log Additional Run2017-2018

School District: Month of , 20

Name of Contracted Provider: Van Number:

Enter dates across the top. Use the key below to enter Additional Run attendance.

*Full Name of Student

Daily # of Students – AR **(include all students)

Daily Miles - AR

Key: = Present A = Absent (Record Additional Run attendance for each date of service)

Driver Name: Signature: Date:

By signing this trip log you are certifying that the service dates are recorded accurately. *Record all names of students present on vehicle.**Daily # of Students should reflect the total number of students present on the vehicle, regardless of IEP needs.

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Revision Date 2/27/17

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