Work experience and skills can be both those you learned on the railroad, or in other careers (independent work, other companies, military experience, etc.).
Provide as many details (date, time, location, nature of work) as you can, and explain as though you are talking to someone with no railroad experience.
If you have experience on other machines, assignments, or special training, please include each unique instance as a separate form.

First name:
Last Name:
Email Address:
Employee Number:
Railroad:
Type of Statement:
Is this Statement about operating a piece of equipment or machinery?:
If so, what sort of machinery or equipment?: (Bulldozer, crane, surveyor's tools, etc.)
Type of Skill or Work Experience: (Please provide a brief description here, to allow us to categorize your statement.)
Time Period for Statement: (What date or range of dates would this statement apply to?)
Statement of Experience or Skill: (Be detailed! Fully describe the work assignment, special skill, or nature of the project so that a non-railroad person can understand what you're describing and why it is important!)
Other Facts or Information: (Please provide other details you feel are important to share as it describes your skills, training, or experience with the work described.)
Is this Statement related to a claim or grievance you are currently listed on?