SCHOOL BUS PASSING COMPLAINT FORM
TETON COUNTY SCHOOL DISTRICT NO. 1

Date:

Driver's Name:

Bus Number:

Bus Stop Name:

Highway:

Location (Nearest X-Road or Landmark):

Road Conditions:

Time of Occurance:

Time Reported to Bus Barn:

Time 8-Way Lights Were Checked:

Bus was stopped: Loading( ) Unloading( )

Direction of Travel:
 Bus: N S E W
 Suspect Vehicle: N S E W

Suspect Vehicle License No.:
 State:

Estimated Speed of Suspect Vehicle Upon Passing:

Suspect Vehicle Description:
 Make:
 Color:
 Type:
 Other:

Suspect Vehicle Driver:
 Man() Woman() Student()
 Approximate Age:
 Hair Color:
 Other:

Were there passengers in the suspect vehicle?
 If yes, how many?

The bus was approximately _____ feet from the bus stop when the amber flashing lights were activated.

Were the 8-way red flashing lights & stop arm (with red flashing) activated immediately upon coming to a complete stop?

The suspect vehicle was approximately _____ feet from the bus stop when the 8-way amber flashing lights were activated.

The suspect Vehicle was approximately _____ feet from the bus stop when the 8-way red flashing lights & stop arm (with red flashing lights) were activated.

Did driver of suspect vehicle attempt to stop or slow down?
 If yes, explain where, etc.

Were there any other vehicles in the area?
 If yes, how many?
 Did any stop?
 Direction of travel of any vehicles that stopped? N S E W

General Description of Traffic in the Area at the Time Passing Took Place:

Signatures:
 Driver:
 Time:

 Witness #1:
 Time:

 Witness #2:
 Time:

 Officer:
 Time:

Comments: