PA DOT Form DL-121A DS. School Bus Seizure Reporting Form

The School Bus Seizure Reporting Form, Form DL-121A DS, is a document used by the Pennsylvania Department of Transportation to report seizures occurring on school buses. This form serves as a means of gathering important information regarding seizures that may have taken place while a school bus was in operation.

The form consists of several sections where relevant details can be provided, including the date and time of the seizure, the name of the bus driver, and any witnesses present during the incident. Additionally, the form requires information about the student involved, such as their name, age, and school district.

It is crucial to accurately complete this form, ensuring all essential fields are filled in correctly, as it serves as an important record for future reference and analysis. By promptly reporting and documenting seizures, transportation authorities can take appropriate measures to ensure the safety and well-being of students with seizure disorders.