Conveyance Allowance Form

Fields marked with an * are required.

If there are more than three students claiming from this home residence, please complete another Form 1.
Note: Where there is more than one student in a vehicle, there are two rates claimable: ‘furthermost’ distance rate and ‘additional’ rate. Only one student can claim the ‘furthermost’ distance rate. Any other students are identified as ‘additional’ students.
Please complete Form 5 for Multi-mode conveyance allowance: when a student uses more than one mode of transport (e.g. private car and public transport) for a journey between home and school. The distance travelled must be 4.8km or more for each leg of the journey.

Eligibility
An application on behalf of a student may be submitted if the student is:

• a Victorian resident
• school aged and enrolled three or more days per week at a school and
• attending a school/campus located outside the Melbourne metropolitan conveyance boundary

A student who meets the above requirements may be eligible if they:

• attend their nearest or designated neighbourhood government school/campus appropriate to their year level, at which admission is permissible, or
• attend their nearest appropriate non-government school/campus appropriate to their year level, at which admission is permissible, and
• reside 4.8km or more by the shortest practicable route from the campus attended

Note: Eligibility is assessed when the School completes your child’s application on the Student Conveyance Allowance System (SCAS). If approved, the allowance payable is based on the one-way distance to make the journey to and from school. No private car allowance is payable if the journey to and from school could be made using a public transport service or contract school bus. For further information regarding the Conveyance Allowance Program see: Conveyance Allowance Program
*Multi-mode conveyance allowances
Multi-mode conveyance allowance applies when a student uses more than one mode of transport (e.g. private car and public transport) for a journey between home and school. Refer to Form 5

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I certify that:

1. All the above details are true and correct to my knowledge.
2. I will notify the principal/delegate in writing within 7 days of any change of address or school.
3. The school will use personal information I have provided such as my address, child’s enrolment details to assess and confirm their eligibility for the Conveyance Allowance Program using the Student Conveyance Allowance System (SCAS).
4. I consent to release this information to Department of Education (DET) representatives to assist with assessing my application on SCAS.
5. I understand the conveyance allowance is for the student/s named on the application form/s and cannot be withheld by the school in lieu of fees or late payments.
6. I understand my signed consent is required with this application form for the school to keep the conveyance allowance as a contribution towards privately procured transport services to and from school only (if you agree to give consent, please complete/sign consent below).

I consent that:

1. The conveyance allowance payable to the student/s named on this application form will be withheld by the school as a contribution towards privately procured transport services to and from school only.
2. I understand the conveyance allowance cannot be withheld or contribute towards procured bus services for school excursions.
3. I will notify the principal/delegate in writing if I wish to withdraw my consent to withhold my child’s conveyance payments.
4. I understand withdrawal of my consent may not be effective until the next term claim period.