School Bus Incident Report

For school bus driver use only.

Incident Report

Fill out as completely as possible.

Driver First Name
Last Name
Incident Date
Incident Time
Driver Phone
Bus #
Light System
Stop Sign
Location (address/nearest intersection)

Automobile Description

License Plate # Make Model Color Occupants

Suspect Physical Description

Sex Approx Age Additional Info


Your Direction of Travel
Violators Direction of Travel
Was bus at a complete stop when pass occurred?
Were red flashers on?
Was violator 20ft. or more from the bus when reds where activated?
Did violator attempt to stop?
Or slow down?
Weather Conditions
Road Conditions
How many kids were getting on or off?
Where were kids when violation occurred?
List Additional Witnesses.
Give a description of what occurred.