Primary Change of Address – Loyalsock Township School District

Parent(s)/Guardian(s) in Household: *

New Home Address

Address Line One

Address Line Two

City

State/Province

Zip/Postal

Parent/Guardian’s Phone Number: *

Parent/Guardian's Email Address *

Effective Date of Change:

One of the following proofs of residency is required:

How will you provide proof of residency? Check one

download a pdf or picture (link below)

send a pdf file or picture via email to siachini@loyalsocklancers.org

mail a copy of your proof to the LTSD District Service Center at 1605 Four Mile Drive Williamsport, PA 17701

bring a copy of your proof to our district office.

Please provide proof within seven days of your move.

File Upload

Maximum upload size: 51.2MB

Student Name(s)

School

Student Grade

Student Name(s)

School

Student Grade

Student Name(s)

School

Student Grade

Student Name(s)

School

Student Grade

Change Transportation Registration: (allow 48-72 hours processing time)

I wish to change my current transportation registration - see below

Please indicate transportation need by clicking the checkboxes.

In order to utilize school bus transportation, the following regulations apply:

1.	The child/children must be eligible for bus transportation.
(Definition: The student’s residence to school must be at least 1.5 miles for grades K-6 or 2 miles for grades 7-12 or be located on “PennDOT” designated hazardous roads.)
2.	The bus assignment is for every day of the week, every week of the school year.  Requests will not be honored for partial weeks or every other week.
3.	Bus assignments are determined by the student’s primary address and students will be transported to/from this location.
4.	Requests for transportation to/from an alternate address requires approval by the Transportation Office and must meet the following criteria:
(a)	An open seat must exist on the alternate bus and a new stop is not required.
(b)	The alternate address must be located within the school boundaries and at an address which meets eligibility for busing.
(c)	It is understood that if a new child/children is enrolled who lives along the bus run and requires a seat on a full bus, your child will be removed and placed back on his/her original bus to your residence. Parents will be given at least three days’ notice.

LTSD -- PRIMARY CHANGE OF ADDRESS FORM - Questions: 570-326-6508, Ext. 1001

Parents/Guardians will receive written notification of student’s bus assignment via US Mail or Email. Transportation Questions: 570-326-4681

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