Year 10 Transport Reimbursement Form 2014/15
(within the UTC Cambridge catchment zones only)
Student Details
Surname
Forename
Date of Birth
Address
Telephone
Number
Postcode
Transport Details
Preferred Route
Method of Transport
Estimated Cost
Bus/Train
£
Alternative Route
Method of Transport
Estimated Cost
Bus/Train
£
Do you require
transport from the
train station?
Yes
No
Parent/carer signature: ______________________________________
(Print name) _______________________________________________
UTC Cambridge approved transport cost: £ ______________________
Principal signature: _________________________________________
(Print name)_______________________________________________
Transport costs will normally be reimbursed on presentation of transport card and payment
receipt. Please present at UTC Cambridge reception on after 8th September 2014.
If pre-payment will cause family hardship, please tick the following box and you will be
contacted for further details.
Please return to UTC Cambridge, c/o The Deaking Learning Centre, Addenbrooke’s
Hospital, Hills Road, Cambridge CB2 0QQ or Scan/Email and forward to
lsizer@utccambridge.co.uk