HTST VSPS Application 2020/21
Post 16 pupils who do not qualify for free transport may be able to travel on a fare-paying basis if
there are seats available under the Authority’s Vacant Seats Payment Scheme. Note that there may
NOT be an available seat in which case you will have to make other arrangements for your child’s
transport.
To apply for a seat under the scheme please complete this form online, all applications are processed
on a first come first served basis: https://www.mpsnsc.com/SchoolTransportApp/P16VSPS.aspx.
A copy of the full scheme guidance is available online at:
http://www.n-somerset.gov.uk/my-services/schools-learning/financial-support-for-pupils/home-to-
school-transport/vacants-seats-payment-scheme/
You will need to complete the attached Direct Debit Mandate form. If you are successful, we will
process your Debit Form and once the first payment is received, we will send out your ticket and the
travel details. We will inform you if your application is unsuccessful.
If you are in receipt of qualifying benefits, please attach confirmation of this with your application.
Please note that seats allocated under the scheme may be needed by statutorily entitled pupils, if this
happens, we will give you at least two weeks notice of the seat being withdrawn.
A new application must be submitted each year. Renewal forms for the next academic year will
be available online from the Home to School Transport web page above on 1
st
August 2021.
Annual Fee per child for 2020/2021 - £624 (either in full or by Direct Debit).
Direct Debit Mandate - 8 monthly payments of £78.00
Part 1 Pupil and Transport Details
School Attended: ………………………………………………………………………………………………
Preferred Pickup Point (if known): ……...………………………………………..………………………….
Route Number of Preferred Service (if known): …………………………………………….………..…...
Date that you require transport from: ………………………………………………………………………
Name(s) of Pupil(s) (if you are applying for more than 2 children, please provide details on a
separate piece of paper and ensure it is attached to this form):
1 …………………….……………………………………….Date of Birth: ……………………………….
2 ……………………………………………………………….. Date of Birth: ……………………………….
Name of Parent/Guardian: ……………………………………………….……………………………………
Home Address: …………………………………………………………..……………………………………..
Post Code: …………………………………………… Telephone Number: ……….……………………….
Post 16 Home to School Transport
Vacant Seats Payment Scheme
Application to Travel for 2020-21 Academic Year
HTST VSPS Application 2020/21
Part 2 Application for exemption from fares
A. Are your children in receipt of Free School Meals?
OR
B. Do you receive any of the following benefits? Please tick to indicate which benefits apply
to you and enclose the requested documents with your application form.
Income Support
Please send all pages of most recent letter from the Department for Work and Pensions detailing
entitlement.
Income Based Jobseekers’ Allowance
Please send all pages of most recent letter from the Department for Work and Pensions detailing
entitlement.
Child Tax Credit
(Provided your annual income as assessed by the Inland Revenue does not exceed £16,190
and you do not also receive Working Tax Credit).
Please send most recent Tax Credit Award Notice (TC602) or Inland Revenue notice of Change of
Circumstance.
Guarantee Element of State Pension Credit
Please send your most recent Pension Credit Award Notice (M1000)
Support under Part VI of the Immigration and Asylum Act 1999
Please tell us the address and telephone number of the National Asylum Support Service office which
is providing support.
Universal Credit
(Please note that universal credit is replacing working tax credit.)
Provide paper proof
Please note that if you receive any of the above benefits you may be entitled to Free School
Meals. Please tick this box if you would like to receive more information about this.
Part 3 - Undertaking by parent/guardian:
I wish the pupil(s) named above to travel as fare-paying passenger(s). If seats are provided I
undertake to pay the appropriate fee either in full or via Direct Debit Mandate with North Somerset
Council.
I agree to pay either in full (payment attached). Or by Direct Debit (unless I am exempt from
fares see Part 2.)
I also understand that permission to travel may be withdrawn by the Integrated Transport Unit, with a
notice period of two weeks, at any time during the school year and that if no other suitable seat is
available, and a proportional refund of fares for that term may be made.
Date: ……………………………………. Signed: ……………………………….……….. Parent/Carer
Please return this form to: Integrated Transport Unit
Postal Address: North Somerset Council, Town Hall, Weston-super-Mare, BS23 1UJ
Office Base: GC02 - Castlewood, Tickenham Road, Clevedon
Email: schooltransport@n-somerset.gov.uk Tel: 01934 634715
Instruction to your
bank or building society
to pay by Direct Debit
Please fill in the whole form using a ball point pen and send it to:
Integrated Transport Unit
North Somerset Council
Town Hall
Weston super Mare
BS23 1UJ
Service user number
2
5
0
7
3
2
Name(s) of account holder(s)
Reference
Instruction to your bank or building society
Please pay North Somerset Council Direct Debits from the account
detailed in this Instruction subject to the safeguards assured by the
Direct Debit Guarantee. I understand that this Instruction may remain
with North Somerset Council and, if so, details will be passed
electronically to my bank/building society.
Bank/building society account number
Branch sort code
Name and full postal address of your bank or building society
To: The Manager
Bank/building society
Address
Signature(s)
Postcode
Date
Banks and building societies may not accept Direct Debit Instructions for some types of account
This guarantee should be detached and retained by the payer. DDI2
The
Direct Debit
Guarantee
This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit North Somerset Council will notify you 10 working
days in advance of your account being debited or as otherwise agreed. If you request North Somerset Council to collect a
payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit, by North Somerset Council or your bank or building society, you are
entitled to a full and immediate refund of the amount paid from your bank or building society
If you receive a refund you are not entitled to, you must pay it back when North Somerset Council asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be
required. Please also notify us.
NORTH SOMERSET
COUNCIL
click to sign
signature
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