Online Form - Request for Hire - Community Bus

The Shire of Coolgardie is responsible for managing and maintaining the two Community Buses (“the buses”) as a community service.

The Kambalda based bus is a manual vehicle and has the capacity to carry 20 passengers plus the driver with no wheelchair access.

The Coolgardie based bus is a manual vehicle and has the capacity to carry 17 passengers plus the driver and accommodate two wheelchairs storage loaded by a hydraulic ramp.

Drivers of these buses MUST have a valid LR driver’s licence and, if required, proven experience in hoist operation.

All requests for hire must contain copies of all drivers licences with each completed form.

Terms and Conditions

Please click here to view the terms and conditions of hiring a Shire of Coolgardie bus.

Hirer Name *

Where do you want to hire the bus from? *

COOLGARDIEKAMBALDA

Postal Address *

Home Number

Mobile Number *

Email (for invoice)

Organisation

ABN (if applicable)

Not for Profit

YesNo

Public Liability Certificate

YesNo

Primary Driver Name *

Primary Driver Details

Driver Name *

Address *

Driver’s Licence Number *

Maximum size of ALL attachments is 976.56 MB

Driver’s Licence Expiry *

License Class

Secondary Driver Details, Driver Name

Address

Driver’s Licence Number

Maximum size of ALL attachments is 976.56 MB

Driver’s Licence Expiry

License Class

TRIP INFORMATION - Date of Hire

Return Date

Travelling From

Destination

Number of people

Bus Location

Purpose of hire

Pick up Time:

Return Time (Approx)

Do you agree to adhere to the terms and conditions (please see link above to download full terms and conditions.) By ticking yes, you confirm agreement with conditions. *

Yes