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Applications for Travel Assistance for Young People with an EHCP/SSEN (Aged 16-25)

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Only complete this form if you need to apply for travel assistance for the 2019/20 academic year. If you need to apply for travel assistance from September 2020 you will be able to apply after 3 February 2020.
This form should only be completed if you are aged 16-25 and in receipt of an Education, Health and Care Plan (EHCP). Please read the Travel Assistance Policy 2019/20 carefully before completing this form.
Students who are attending a new course of study starting in September 2019 will be required to pay a contribution towards their travel assistance.
If you are already receiving Travel Assistance from Surrey County Council and would like to change the type of assistance you receive, please do not complete this form, instead email the Travel Assistance Team at - sendtravel.assistance@surreycc.gov.uk.
If you require assistance for a child up to the age of 16 then please complete the Application for Travel Assistance for Young People with an EHCP or SSEN aged 0-16.
The information provided will be used as part of the eligibility assessment, therefore please answer all questions fully, as failure to do so will result in delays assessing your application. It is important to note that by filling out this application it does not mean travel assistance will be granted. However, you will be notified of the outcome of the assessment as soon as possible.
Student Details
Your details
School/College and Course Details
Request for Travel Assistance
I have read the Guide to Travel Assistance booklet and the Travel Assistance Policy for Young People with an EHCP and understand that if I am starting a new course of study in September 2019 that I will be required to pay a contribution towards my travel assistance. I believe that I am eligible for travel assistance because:
I will be over 16 and under 25 on the 31 August of the academic year prior to the start of my course *
I will be attending a qualifying education provider (See SEND Travel assistance policy) *
I will be attending a full time, Further Education course for at least one academic year *
I will be attending an education provider that is more than three miles walking distance from my home *
This will be assessed and checked by Surrey County Council
I am a wheelchair user/have a disability that impacts on me walking to school/college *
Can you use public transport to get to school/college? *

 
Free bus passes for disabled people
The Council provides free bus passes for disabled children and young people. The pass entitles the holder (and a companion in some circumstances) to free bus travel between 09.30 and 23.00 Monday to Friday and at any time at weekends and on public holidays. Parents/carers and young people can apply for a free disabled persons bus pass through the Council's website.
If you would like to apply for a Free Bus Pass then please click on the link for further information.
Do you currently hold a free bus pass? *
Will you now be applying for a free bus pass? *
Have you been turned down for a free bus pass previously? *

 
Independent Travel Training
Travel training gives children with Special Educational Needs the skills and confidence to travel independently on public transport. It is available for young people who are aged 11-19 and eligible for Travel Assistance. Your child can receive Travel Training whilst receiving another type of Travel Assistance.
Please indicate if you could benefit now from Independent Travel Training (ITT) *
Independent Travel Allowance
The independent travel allowance can be used flexibly by families and young people, where appropriate, to help fund their own arrangements to get to school or college. The amount you would receive is based on the banded distance between your home and place of education. This would be paid in monthly instalments during the academic year. If you would prefer to accept travel allowance rather than use a contracted taxi then please indicate below.
I would prefer to accept a travel allowance *
Declaration
I confirm that I have read the Travel Assistance Policy and fully accept the conditions under which I am applying for travel assistance, including the level of student contribution required. I certify that the information given in this application is complete and accurate to the best of my knowledge and belief. I understand that if I give you false information, or fail to give you complete information, any assistance I receive may be withdrawn. I understand that if any provision is granted in error, the Authority reserves the right to withdraw the provision once a reasonable period of notice has been given in writing. I authorise the Authority to verify the accuracy of the above information from educational establishments, other councils and agencies. I also agree to let you know if the student named on this form moves address or changes school/college.
Thank you for completing this form, please check that you have completed all the necessary fields before submitting it. You may also wish to print a copy for your records.
If you would like to see how we use your personal data please read our Privacy Notice
If you have completed all the fields marked *, then please click "Submit".

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