This form has a maximum of 20 pages
If you need help completing this form please contact Ealing Council’s travel assessor by emailing email@example.com
Complete this form if you believe your child or young person is eligible for SEN home to school travel assistance. More information about the types of travel assistance and eligibility.
This form will take approximately 15-20 minutes to complete, and you will have the option to submit documentation you believe may support your request for travel assistance, eg a letter from a medical professional. You may wish to have this ready before you begin.
You must answer this form in full otherwise we will be unable to process your application.
Note: Each form page will time out after 10 minutes.