Application for Zero Fare pass to and from school
Please use BLOCK letters and BLACK ink.
Surname
First Name
Date of Birth
Town
Postcode
Address
Area
Home Boarding Point
Telephone Number
School Attending
How many buses will your child board to get to school?
How many buses will your child board to get home?
If you have moved in the last 12 months, what was your old address?
Address
Postcode
Date
I agree to the Transport Executive holding this information electronically, including the photograph, solely for the purpose of assessing the application
and if appropriate issuing a zero fare pass. The Transport Executive may also provide information about changes to the terms and conditions.
Please tick the box if you do not want to receive information about products and services which may be of interest to you.
I have read and understood the code of conduct for my child on public transport to and from school as printed on the attached page.
I understand that in the event of this pass being lost, there will be a charge to replace it.
I agree to reimburse any costs incurred in the event of loss, improper use or failure to return the pass on request.
Signature of Parent/Guardian
FOR OFFICE USE ONLY
Direct debit
Cheque
Card payment
Date
SYPTE
Zero Fares
11 Broad Street West
Sheffield
S1 2BQ
Invoice
Date received
Comments/Conditions
A photograph is only
required if you have
not had a Zero Fare
pass before, or if your
previous photograph
is out of date
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Please stick your
photograph here
Please do not use
pins or staples
Code of Conduct
The code of conduct set out below is a condition of use for a Zero Fare Pass.
Non-compliance with this code may result in the withdrawal of the pass and payment
of the full adult fare.
1. Not assault or verbally abuse any other passenger
or the driver.
7. Not open emergency doors or
throw items from the bus.
2. Not commit or cause any damage to the vehicle
including graffiti.
8. Not use foul language or abusive gestures to other
passengers, the driver or occupants of other vehicles.
3. Not steal any item from other passengers or
equipment from the bus.
9. Not commit any other anti-social behaviour which
could offend other passengers or the driver.
4. Not smoke while on the bus.
10.Recognise that failure to produce a valid travel
pass will require you to pay the full fare.
5. Not harass any passenger or the driver.
6. Not engage in spitting.
Please retain this page for your reference
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