Adopted: September 1981
Revised: September 2013
Download 707.10.2P - Nonpublic Student Transportation Reimbursement Request
I/We request reimbursement for transporting the following child(ren) as per District 196 Regulation 707.10AR, Nonpublic and Charter School Student Transportation for the current school year. I understand that this request must be submitted to District 196 prior to June 30 for reimbursement for the current school year.
student name grade school school phone #
I understand the payment is not to exceed the amount of the district’s nonpublic transportation revenue per student minus five percent administration cost.
Return to:
Independent School District 196 Director of Finance and Operations 3455 153rd Street West Rosemount, MN 55068
NOTE: To qualify for reimbursement for the current school year, this form must be returned no later than June 30. |