Fillable Vacant Seat Payment Scheme Transport Application 2020 (North Somerset Council)

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Vacant Seat Payment Scheme Transport Application 2020 (North Somerset Council)

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North Somerset Council operate a scheme where vacant spaces on transport services are offered
at a subsidised rate for students who are not eligible for travel assistance. Note that there may
NOT be an available seat in which case you will have to make other arrangements for your child’s
transport.
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/
Vacant seats are allocated on a first-come, first serve basis and can be withdrawn at two weeks’
notice if the seat is required for another child that is eligible for travel assistance, or if the seat is no
longer available for any other operational reason. If this happens, we will give you at least two weeks’
notice of the seat being withdrawn in order for you to make other arrangements.
To apply for a seat under the scheme please apply online at:
https://www.mpsnsc.com/SchoolTransportApp/vsps.aspx or complete this form and return it as
soon as possible.
You will need to complete the attached Direct Debit Mandate form. If you are successful, we will
process your Direct Debit Form and once the first payment is received, we will send out your ticket
with 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.
To ensure fairness to all families, application forms for this scheme become available online and are
accessible from council gateways from midday on the 31 July for the new academic school year.
Applications are accepted from 9am on the 1 August, and all applications are time stamped once
received. The application form will be on the North Somerset Council website.
A new application must be submitted each year. Forms for the next academic year will be
available online from the Home to School Transport web page above on 31
st
July 2021.
The charge for the vacant seat payment scheme can be financed in one payment or through an 8-
month payment plan. The charge is reviewed annually and can be found within the council’s
published Fees and Charges document which is available to view on the North Somerset Council
website.
Annual Fee per child for 2020/2021 - £624 (either in full or by Direct Debit).
Direct Debit Mandate - 8 monthly payments of £78.00
Where the council identifies that an eligible seat has been vacant for a significant period of time (12
weeks) the eligible student may be contacted, and the seat re-allocated to an unentitled paying
student. If the eligible student subsequently wishes to reinstate their space on transport, they will
need to write to the Integrated Transport Unit giving at least two weeks’ notice. Spare seats on
vehicles will be advertised on the home to school transport page of the website.
Home to School Transport
Vacant Seats Payment Scheme
Application to Travel for 2020/2021 Academic Year
Part 2 – Application for Exemption from Fares
a) Are your children in receipt of benefits based Free School Meals?
(we can confirm this with no additional evidence).
Y ☐
N ☐
b) Are you in receipt of the Maximum level of Working Tax Credit?
(please send all pages of your most recent renewal form TC603R (TC603D)
issued by Her Majesty’s Revenue & Customs.
Y ☐
N ☐
Please note that universal credit is replacing working tax credit. Our policy will be
updated in due course with the implementation of universal credit.
Part 1 – Pupil and Transport Details
School attended:
Preferred pickup
point:
Route number of
preferred service:
Date you require
transport from:
Name(s) of
Pupil(s):
Full name:
Date of
Birth:
☐ Male
☐ Female
Full name:
Date of
Birth:
☐ Male
☐ Female
Parent / Carer
name:
Name and
relationship:
Main Home
address
(including
postcode:)
Telephone
number:
Mobile:
Email address:
Secondary
contact:
Name and
relationship:
Telephone
number:
Home/work:
Mobile:
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 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. If payment for a
vacant seat is not received, the council reserve the right to suspend the seat with one week’s
notice, pending review.
I agree to pay in full ☐ (payment details
attached).
Or,
I agree to pay by Direct Debit ☐ (unless I
am exempt from fares – see Part 2.)
Signature of Parent/Carer: Date:
……………………………………………. ……………………………………………..
Please send or email your application to:
Postal Address: The Integrated Transport Unit
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 634 715
click to sign
signature
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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
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Vacant Seat Payment Scheme Transport Application 2020 (North Somerset Council)

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Completed 15 July 2020

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