Parent/Guardian Request for Review of Hazardous Walking Concern

1. Introduction and Instructions:

Si desea imprimir este formulario y completa en español, por favor haz clic en Español Peligro Forma.

Dear Parent/Guardian,

Please complete the form below to submit your request to the Hillsborough County Public Schools (HCPS) Transportation Safety Office.

You should only complete this form if your student(s) reside within 2 miles of their school and if you feel that the walking path for your student(s) is unsafe and meets the requirements for hazardous walking conditions as found in Section 1006.23, Florida Statutes.

Your completed form will be reviewed by the appropriate school district department, or forwarded to the appropriate jurisdictional authority, and a decision will be made based on the completion of the review. You will be notified via email of the final decision as soon as possible.

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1. Your Name:

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2. Your Email Address:

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3. Please provide the following information:

Street Address:

City:

Zip:

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4. Community Name (if applicable):

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5. What grade level is the student you are requesting review for currently in:

Elementary (K-5)

Middle (6-8)

High (9-12)

Other